Pagides Entomon PMC - - 38333 Volos - Greece - Fax: ++30-24210-76244 - Email sales@pmc.gr - Website http://www.pmc.gr

ORDER FORM (for orders up to EUR 2800)

FILL OUT AND FAX IT TO: ++30-24210-76244

Total products

Total Shipping

European residents only: add Value-Added Tax 19%
or provide your European number in Customer details

Grand Total

CUSTOMER DETAILS

Official Company Name:____________________

Contact person:___________________________

Address:_________________________________

City, State:_______________________________

Zip or postal code:_________________________

Country:__________________________________

Internet email (please verify!):_________________

Telephone:________________________________

Fax:_____________________________________

VAT Registration Number (EU residents only, please verify!)
Please ship the designated goods according to my instructions as soon as payment is received.

Date (dd-mm-yy):_________________________

Authorized signature

CREDIT CARD AUTHORIZATION

Charge amount of (EUR):___________________

Card type (Check with an (+) sign: ____VISA ____MASTERCARD

Card number:__________________________

Issued by:_____________________________

Cardholder name:_______________________

I hereby confirm and accept the sale and I irrevocably
authorize PMC insect traps to charge my credit card
with the above amount.

Cardholder signature:_____________________

Date (dd-mm-yy):________________________

INSTRUCTIONS

• Please write clearly (no continuous writing), or print.
• This order form is for orders with Grand Total up to EUR 2800. Conversion from EUR , our reference currency, to your local one may be done using the day's reported on the Internet. Try the converter at: http://www.oanda.com/converter/classic.
• Check prices at price list (or see at our website at: http://www.pmc.gr) and fill out all fields, (products-quantity-prices-shipment), and fax it to: 0030-24210-76244.
• VAT: Only residents of the European Union are affected. Please provide your valid (and verified) VAT number OR add 19% VAT. Doing both or none might delay processing of your order.
• Credit cards are charged in EUR. In order to protect you against unauthorized use of your credit card, we may ask for personal information and/or 2-sided photocopy of the card, if required by the issuer.
• We do not offer a money-back guarantee.
• Wire transfers / SWIFT: Can be arranged in special cases for amounts above EUR 2800. See our ARRANGEMENT ORDER FORM for details.
  

Thank you for choosing PMC insect traps products!

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Custom Borders
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