Order form
Royal Dutch Visio
Centre of Expertise for blind and partially sighted people
Afdeling communicatie
Postbus 1180
1270 BD Huizen
The Netherlands
Book Playing is growing
Price per item:
€ 30 (exclusive shipping costs)
Number of items:
…………… pieces
Play Development Scale for Blind and Visually impaired Children (P.D.S.-Bl.)
Price per item:
€ 25 (exclusive shipping costs)
Number of items:
…………… pieces
Name*
…………………………………………………………………………………………………………………………………………
Address*
…………………………………………………………………………………………………………………………………………
Postal code* …………………………………………………………………………………………………………………………………………
Place of residence* ………………………………………………………………………………………………………………………………
Country*
…………………………………………………………………………………………………………………………………………
Telephone*
…………………………………………………………………………………………………………………………………………
E-mail*
…………………………………………………………………………………………………………………………………………
Signature*:
* obligatory fields

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Representatiemodel ZG 2015