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Juan Manuel Castro Valle

LAWYER

C/Cordelería nº 38, 5º 15003 La Coruña, Spain

C/Panaderas 20-22, 4º A 15001 La Coruña, Spain

 

TITLE BOOKING & ORDER FORM

 

Credits cards: We accept exclusively MasterCard and Visa,

 

 

Cardholder's Name (exactly as it appears on card) _________________________________________________

 

Address (BLOCK LETTER PLEASE)

 

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

Telephone no: ______________________________________________________

 

Credit card number: _____________________________________________________________

 

Credit card Type: _______________________________________________________________

 

Expiry date:________________________________________________________

 

*Valid from date ____________________________________________________

 

Name of the Title(s):______ _____________________________________

                                            

 

Please post this form back to:

 

C/Cordelería Nº 38 5º 15003 La Coruña, Spain

Or

EMAIL IT TO: feudaloffice@speedpost.net

 

NB: Titleswill be reserved immediately on receipt of payment

                                                                       

              

 

 






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