Special 1-Year ETN Worldwide Card Offer
Order now for only US$ 69...!!

  1. The Card is worldwide valid for 1 year from the moment you receive the Card.
  2. You can enjoy worldwide as many discounts as you like during the year of validity.
  3. At the moment we send you the Card, you receive by email your personal ETN Card number PLUS the location of the ETN Member Pages on Internet.
  4. The ETN Member Pages give full information about all ETN Card acceptants.

Order Form

Family Name:         
Initials:          
Company Name:       optional !
Position:           optional !
Profession:         optional !
Street / P.O.Box:  
City + State:      
Country:           
Postal / Zip Code: 
Telephone Number:   incl.Country + Area Code
Fax Number:         incl.Country + Area Code
E-Mail:            

Name on your ETN Card

NAME as wanted on your ETN Card  

Form of Payment

I pay as follows: 

Cheques and Cash must be sent to:
ETN,  Damrak 30,  NL-1012 LJ Amsterdam,  Holland.  Fax (31)20-638 2271

Credit Card Information  (Visa - MasterCard - Eurocard)
    

  1. ETN only accepts credit cards of Eurocard, MasterCard and Visa. 

  2. ETN realizes that you may not be very comfortable in sending your 
credit card info via Internet.  That's why we advise you to send 
your card number in one of the following three ways:
      

    •  

    • Send EACH block of 4 digits in REVERSE order !!
EXAMPLE: Your credit card number is:       1234  5678  9123  4567
Below you give your credit card number as: 4321  8765  3219  7654

    • Send your credit card number by fax to:  +31-20-638 2271

Inform ETN how you send your credit card number



Credit Card NUMBER   4 x 4 digits !
Expiration Date      mm/yy
Name Card holder   


Remarks, Comments and Questions

Use the space below to place special requests, provide additional 
information, or ask any questions. You'll be answered promptly.

Other:

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