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payment_form

If you need more information, please contact with Leo Caballero.

by mail: klimt@klimt02.net
by phone: 00 34 933687235
postal address: Còrsega, 317
08008 Barcelona. Spain

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hourly: monday to friday from 10:30 am to 19 pm

	Fill in the form with your personal details to make the invoice of your payment and send you a copy. For your interest, when filled in please print it before submiting. Thank you.
	_ Personal details
	first name
	last name
	postal address
	city
	country
	telephone
	profession
	VAT number
	e-mail
	suggest your password	from 6 to 12 character

	_ Service student individual consultation 40 € / year school or educational institution

	_ Select method of payment

	_ 1. Credit card ( recommended option: secure and no commissions for you)
		The payment is done through the web of Caixa Galicia, that it has a secure server (https), where you will be able to conduct the operation with your credit card. The data of your credit card are only transacted and known by the bank.

	_ 2. Bank transfer
	Diposit to: Tzavara, scp CIF: G63391015	CAIXA GALICIA. Oficina urbana 9 de Barcelona C. Major de Gràcia, 108 08012 Barcelona. España tel: +932 176 608
	Account number: 2091 0629 03 3041002227 IBAN code :ES4620910629033041002227 BIC: CAGLESMMXXX
	>> for your interest, please, print this document before submiting it

	_ protection of the information: We guarantee you the total protection of the personal details given by you because we use an advanced secure system that encodes the information while sending it.