Print Catalog Request Form

NOTE: Catalog orders are limited to the United States.
For inquiries outside the United States, in Canada and South America, please e-mail us at info@pediniusa.com

For inquiries in the rest of the world please contact our Italian web site www.pedini.it

Salutation:	_______________________		Pick Payment Type (pick one): Visa Mastercard
First Name:	_______________________		Card Holder Name:	_______________________________________
Last Name:	_______________________		Card Number:	_______________________________________
Company	_______________________		Expiration Date:	__________________________________
Address:	_______________________ _______________________		CVV Number on back of card:	_____________________________
City:	_______________________		Please send me: Outline Integra Artika Borda Dream Q2 Private-Bath Collection $15 Purchase Guide - General catalog with most Pedini models (incl. S&H) $29 for one book + Free Pedini purchase guide (incl. S&H) $45 for all 8 catalogs (incl. S&H)
State:	_______________________
Zip:	_______________________
Country:	_______________________
Phone:	_______________________
Fax:	_______________________
Click the "Print" button below, Fill out this form, SIGN the form and FAX back this form to (201) 261-0966