Order form

Name:.................................................First name:........................................................

Street:...........................................................................N°:....................Box................

Zip code:....................City:...........................................State or Prov:............................

Country:......................................................................................................................

E-mail:.........................@................................E-mail 2:.........................@...................

Fax:..............................................................Tel:........................................................

Sponsored by:........................................Your own sponsor number:.............................

Hereby I order following painting(s):

Order n°: APS-...........(clearly indicate the number as found under the picture).

Order n°: APS-..........., (add more if you wish to order more than 2 paintings)

I hereby make a payment of ...x 1000 $ all included = .............$

(When signing up for the half APS fill out here: ....X 500$)

When signing up for 11 x 100$ per month, fill out here:11 x 100$ via E-gold

Send an e-mail to Artprosys@lycos.com with "sign me up for 11x100" in the subject line; then sent this order form. Payment instructions will be sent to you. You are entitled for commissions right away.

For your and our security payment is only accepted via wire transfer to our account: (exept for the 11 x 100$ E-gold payments)

Wire Transfer Instructions: 

Do not use Rishon Bank account for wire transfer as their services are unavailable at this moment (august 30th) and untill further notice; when sending your order, you will receive instructions how to make payment to another bank account or via e-gold.

Beneficiary Name ; Rishon Bank ( SC) 
Beneficiary Account Number : 543103-3568/569 
Beneficiary Bank Name : MontenegroBanka AD 
Beneficiary Bank Address : Podgorica, Montenegro 
SWIFT : IBTTYU22 
Intermediary Bank name : Commerzbank AG 
Intermediary Bank Address : Frankfurt , Germany 
SWIFT : COBADEFF 
Beneficiary Bank Account No. : 400876825100 
Reference : ID# 1478854-Account# 116596

1.Please send confirmation of your order to: ArtProSys@lycos.com with your name, sponsor number,

the exact date of your wire transfer, the amount and your bankers name. (from august 30; please wait for our instructions how to make payment!)

2.Fax a copy of this order to ArtProSys at one to the following numbers:

US customers: +1 509 461-0319

Rest of the world: +44 870 169-5080

Upon receipt of your payment you are entitled for commissions.

Please allow 28 days for delivery by registered mail or courier service.

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