Record Store – Bank account form

Please fill in this form below if you want to place an order and want to pay by bank account.

First name:

Last name:

Address:

E-mail:

I want to order the following album(s) on CD:


Message:

- shipping costs Netherlands: € 2,95
- shipping costs worldwide: € 4,95 (registered: € 16,95)

Please send total amount (including shipping costs) to:
ABN-AMRO bank account number NL53 ABNA 0490 4877 69 (MPC Bastiaansen CJ, Breda (The Netherlands).

Don't forget to leave your name & order. When your payment arrives, your item(s) will be send.

Thanks for your order!


If you have any questions please send an email to info@vincentboot.com