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The Giorgio Milan Fax Ordering Line
Please copy the following information and fax this to
617-249-0729
( please list the products that you want to buy....Thanks
Credit Card Type:
*
** Choose One **
VISA
MasterCard
American Express
Credit Card Number:
*
(Do Not Use Dashes)
CID#:
(Required for American Express)
Expiration Date:
*
01
02
03
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07
08
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10
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12
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Enter your name and billing address exactly as it appears on your credit card to ensure that your verification will be successful.
Name:
*
Products and Price:
Additional orders:
*
Address:
City:
*
State/Province:
*
Zip/Postal Code:
*
Country:
*
** Choose One **
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Chad
Chile
China
Colombia
Congo
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
Gabon
Gambia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Latvia
Lebanon
Lesotho
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Northern Ireland
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Lucia
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea (Republic Of Korea)
Spain
Sri Lanka
St Pierre and Miquelon
Suriname
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (U.S.)
Virgin Islands(British)
Yemen
Zaire
Zambia
Zimbabwe
Phone No:
*
Email Address
*
Make this my preferred credit card. If you designate a credit card as "preferred," it will automatically be used for all charges incurred on this site.
Please print this form after you have filled it out, Then fax it to our secure line 6172490729...press 2 to fax after the prompt
You will not hear a Giorgio Milan prompt So do not worry. We will have a sales rep call within 48 hours for confirmation or click here to
request an email confirmation
that the order has been processed. Please include date and time of faxed order (if possible the number from which you faxed the order) We will email you back.