If you wish to receive one or several CD or Tee-shirt from Jean Sangally,
please fill in the form below.

Compulsory areas are followed by a red astérisque.
Please, note : prices are
unit prices, in Euros, charges included.

1) Fill in quantities for each item
 
 
 
 
 
 
 
 
Items
Prices
Quantity
 
CD
Ciao Blues
20
 
Cassette
Ciao Blues
12,50
  
CD
Brassens était-il noir ?
20
  
CD
Monsieur Sangally
20
  
Tee-shirt
15
  

2) Fill in your details
Civility *
Name *
First name *
Adress *
Adress
Postal Code *
Town *
Country *
Telephone
E-mail *
 

In accordance with the provisions of Law No.78-17 of 6 January 1978 relating to computer technology and the protection of personal data (article 36), the person concerned has the right to rectify, complete, clarify, update or delete personal information which is inexact, incomplete, ambiguous or out of date, or whose collection or use, communication or preservation is forbidden.
To exercise this right, please click here.

Sent within eight days after receiving your cheque.
Don't forget to indicate the number of items required.

The cheque should be sent to following adress :

Jean SANGALLY
5, rue des Pélicans
73100 AIX-LES-BAINS - FRANCE