Iran Heritage Foundation

IRAN HERITAGE FOUNDATION

PERSEPOLIS RECREATED

Film Screening / Lecture / DVD-Book - Order Form (Printer Friendly Form)

I wish to purchase ______ copies of PERSEPOLIS RECREATED

	Unit Price (GBP)	Total (GBP)
DVD/Book	48
Postage/packing per copy	UK 7 GBP, Europe 9 GBP, Rest of World 16 GBP
	TOTAL

Method of payment
_____ Cheque (payable to IRAN HERITAGE FOUNDATION)
_____ Credit card
Please debit my credit card (VISA, Mastercard & AMEX only)
_____ VISA _____ Mastercard _____ AMEX
Cardnumber	____________________________________
Expiry date	____________________________________
Name on card	____________________________________
Signature	____________________________________
Please fill in your name and address in block capitals
Name	____________________________________
Address	____________________________________
City	____________________________________
Postcode	____________________________________
Country	____________________________________
Tel	____________________________________
Fax	____________________________________
E-mail	____________________________________

Please print out this form and mail it with UK cheque, banker's draft in UK sterling or credit card details to: Persepolis Recreated, Iran Heritage Foundation, 5 Stanhope Gate, London W1K 1AH. If paying by credit card you can also fax your registration to 44 20 74999293.