Form to Buy Sticks
Name
Surname
Address
Code
Country
Town
Tel. and Fax
Cell. Phone
WALKING STICKS
Fill in the check-box and select the model
Figures
Bulldog
Eagle
Lion
Leda with the swan
Owl
Hawk
Crazy Horse
Duckling
Ribbon
Fido
Cat
Leopard
Beethoven
Mozart
Verdi
Michelangelo
Leonardo
Quantity
1
2
3
4
5
6
7
8
9
10
Knobs
Twist
Daisy
Ruled Straight
Flowered
Ribbon
Twist over leaves
Interlacing
Sphere over leaves
Swarowski crystal
Quantity
1
2
3
4
5
6
7
8
9
10
925 Silver Ornaments
Ribbon ivory style
Ribbon brier style
Ribbon black style
Mushroom ivory style
Mushroom brier style
Mushroom black style
Sphere ivory style
Sphere brier style
Sphere black style
Flowers ivory style
Flowers brier style
Flowers black style
Inlaid ivory style
Inlaid brier style
Inlaid black style
Quantity
1
2
3
4
5
6
7
8
9
10
Crutches
Horse
Liberty
Flowered
Lily
Roma
Cameo
Engraved
Mask
Quantity
1
2
3
4
5
6
7
8
9
10
Enameleds
Red Liberty
Black Liberty
Quantity
1
2
3
4
5
6
7
8
9
10
Swords-Court Swords
Two horses
Eagle head
Panther
Twist
Owl
Ribbon
Little balls
Quantity
1
2
3
4
5
6
7
8
9
10
Pill-Box
Giullare
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