KHG Order Form Brepols Books 2Feb2009 by wul12666

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									                                                                                                  D-10711 Berlin, Germany
                                                                                                        Heilbronner Str. 10
                                                                                                      Tel + 49 30 324 9441
                                                                                                      Fax + 49 30 323 5667
                                                                                                  orders@gerlach-books.de
                                                                                                     www.gerlach-books.de

                                  PLEASE FAX BACK TO +49 30 3235667

I herewith grant permission to GERLACH BOOKS & ONLINE to use my credit card
for my order of Brepols books


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