Yes, I/we want to order the following:

[ ] Name(s) of the book(s) (Books are available on web. Online link for one year is Swiss Francs 70.- per book.):
[ ] Journalists Worldwide (Price is Swiss Francs 260.-, 10% reduction for orders of 10 or more, Print on demand):
[ ] Number of UCIP Pins (Price Swiss francs 25.-, 10% reduction for orders of 10 or more): 
Name: 
Address: 
Country: 
Tel: 
Fax:
E-mail:

Payment:

[ ] Bank Account, E-Banking (Please let us know transfer details)
[ ] Enclosed please find a bank cheque (please add Swiss francs 25 for bank charges) 
[ ] Please charge the sum to my credit card [ ] Visa, [ ] Euro/Master Card, [ ] American Express (Credit card charges will be made in Swiss francs or US dollars with plus 7% for charges) 

Credit card number: 
Card Holder’s Name:
Security number in the signature field:
Expires (date): 
Signature: