The order includes the listing of my office on the list of LOLA-offices on Lola’s web site www.lola-trinkt.de with a link to my office web site and the 3 Lola’s shown above.

Please transfer the total account of 117,81 € in advance into my account:

Dr. Evelyn Leschhorn
Apotheker und Ärztebank Frankfurt

BLZ:	500 906 07
Kto-Nr.:	060 24 37 384
IBAN:	DE59 3006 0601 0602 4373 84
BIC:	DAAEDEDD

address	Mrs.      Mr.
academic title
first name
last name
surgery
street
zip
city
country	Please select Germany Japan Austria Switzerland Spain
email
phone
fax
homepage		www.domain.de