Form to Buy Accessories
Name
Surname
Address
Code
Country
Town
Tel. and Fax
Cell. Phone
ACCESSORIES
Select the model
Model
Doge's hat (1)
Doge's hat (2)
Female wig blonde
Female wig aubergina
Female wig black
Female wig white
Female wig grey
Female wig chestnut
Male wig grey
Male wig brown
Madam's hat (1)
Madam's hat (2)
Madam's hat (3)
Madam's hat (4)
Madam's hat (5)
Madam's tricorn (1)
Madam's tricorn (2)
Madam's tricorn (3)
Madam's tricorn (4)
Gentleman's tricorn (1)
Gentleman's tricorn (2)
Quantity
1
2
3
4
5
6
7
8
9
10
Notes, Remarks
According to the privacy Law L. 675/96 (Privacy) I allow
Flavia's
to the treatment of my personal datas
ATELIER FLAVIA
Santa Marina, 6010
30122 Venezia
P.IVA 00903250272 - C.F. ZRZFLV48L45L706S
Tel. e Fax (0039) 041-5287429 - Cell (0039) 347-1393401
Email: info@veniceatelier.com