Speak Easy


Order the Speak Easy Book



First name
Surname
Company
Address
Address (cont.)
Postal Code
City and State
Country
Telephone (work)
Telephone (home)
Email address

Please be sure to fill out your address above as well as the giftee's address below. We will send a card mentioning "This is a gift from..." Should you wish to include a longer message please email the text to us speakeasy@fusac.org


First name
Surname
Company
Address
Address (cont.)
Postal Code
City and State
Country

Postage for 1-2 copies France :  2 Euros
Postage for 1-2 copies Europe :  4 Euros
Postage 1-2 copies 
international5.5 Euros

Credit Card Information

Credit card number    

Credit card expiration date -  month :   year :

Credit card holder                     

Credit card type                

Visual Cryptogram :  the last 3 digits on the back of the card )  

How did you discover the Speak Easy Book :

I read FUSAC regularly
I received the FUSAC newsletter
Twitter
 Facebook
Vocable
The Connexion
Autre

If you prefer to send your order by mail or visit our office.

By mail - Print this order form and attach a check (in euros on a French bank please) for the total. Send it to FUSAC 42, rue du Chemin Vert - 92100 Boulogne-Billancourt 
At our office - Visit FUSAC at 42, rue du Chemin Vert - 92100 Boulogne-Billancourt, M° Porte de Saint Cloud  - 01.46.09.99.92, speakeasy@fusac.org


Copyright © 1999 FUSAC. Tous droits réservés.
Revu le : 25 septembre 2007 , 01 décembre 2012