ORDER FORM


 
Last Name:
First Name:
Organization: (optional)
Street Address:
City
State:    
Zip:
Country:
  Note: This post address address
will receive your insect order.
Phone Number: (optional)
Fax Number: (optional)
E-Mail:
  Note: This e-mail address will receive all
information for your insect order.
My order is:
  Note: Please, copy any position from price list
to this area and add quantity of ex.
For example: 2 Parnassius maximinus m+f

Please, check one of this boxes
for type of delivery
  • Air mail
  • EMS Garantpost
Note:
- Air mail ($10 - 15.00 and about 3 - 4 weeks)
         or
- Express Mail EMS Garantpost ($50 - 70.00 and 72 hour)

          



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