Choice form

Subject of choice:

--Persian Carpets-- Afshar Ardebil Bakshaish Bidjar Feraghan Ghom Hamadan Heriz Isphahan Keshan Kirman Mir Nain Sarouck Senneh Tabriz Teheran Veramin (Other...) _____________________________________________

--Caucasian Carpets-- Akstafa Baku Dagestan Gendje Karabagh Kazak Kuba Lesghistan Mogan Perepedil Schirvan Sileh Talisch (Other...) _____________________________________________

--Turkish Carpets-- Bergamo Hereke Konya Ladik Melas Usak (Other...) _____________________________________________

Comments:

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Gender*	--Please select-- Madam Mr
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