| APPLICATION FORM | |
| ANNUAL SUBSCRIPTION | |
| Romania | 30 EURO |
| North America, US | 75 EURO |
| EU, Britain | 60 EURO |
| Australia, Japan | 75 EURO |
| Anywhere else | 75 EURO |
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