Form of Order and Estimate
Reception
Miss / Me / M :
Adress :
Tel :
Fax :
Email :
Company :
Serv/Fonction :
Adress :
Tel :
Fax :
Email :
*
Address so different Invoicing :
**
Address of so different delivery :
My Express Market
Name catalogues :
Designation of the article :
Réf/ Codes Order :
Cut / Page :
Qté :
Unit Price :
Total :
Your References :
Mode of Payment :
*
Obligation of 50% with the order, the pay as of the delivery plus our services
My Races (Service only on Paris and Paris area)
Designation of the article :
Réf / Code Orders :
Cut / Page / Site :
Qté :
Unit Price :
Total :
Choice of your Supplier :
Adress :
Tel :
Fax:
Mail :
Packing Gift :
YES
NO
Limp Postale
Type of goods forwarding by your limps postal :
Address reforwarding :
Tel :
Fax:
Mail :
*
Annual subscription 60 € / HT plus our services
The acceptance of our purchase orders is worth agreement of our general conditions of sale
