Pais España

Nombre

Apellido

Empresa (opcional)

Direccion

Apartment, suite, unit etc. (optional)

Town/ City

Codigo postal

Correo Electronico

Telefono

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Pais (opcional)

Nombre fallecido

Apellido

Company Name (opcional)

Tanatorio o direccion de envio

Town/ City

Provincia

Notas del pedido (opcional)

Producto	Subtotal
Ramos de Regalo-R7 × 1	€50.00
Ramos de Regalo-R4 × 1	€50.00
Corona Mortuoria de Orquideas × 1	€300.00
Subtotal	€400.00
Total	€400.00

REDSYS

Esta es la opción de la pasarela de pago con tarjeta de Redsys. Te ayudamos en todo lo que necesites desde nuestra web: www.redsys.es o desde el teléfono central: 902 198 747.
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Pagar con PayPal; puedes pagar con tu tarjeta de crédito si no tienes una cuenta de PayPal.

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