Print complete and fax to +40 21 224 5462.

Your details:

Title: Name : Surname

Delivery address for your Vivid:

Tel (daytime): Fax (daytime):

E-mail:

Please pay by bank transfer to:

(account name) SC VIVID COM SRL

(bank) HVB ROMANIA

Swift Code BACX ROBU

Sucursala Grigore Mora

(ROL account no) RO80 BACX 0000 0000 3128 0310