Insect trap PMC small dish
(Olive Fruit Fly, Mediterranean Fly or Medfly and various Diptera)
Insect trap PMC big dish
(Goldsmith Beetle, Common Fly and various Coleoptera, Lepidoptera)
Sponge (small - big)

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

PRODUCT Qty UNIT (EUR) SHIPPING (EUR) AMOUNT (EUR)
COMPLETE PRODUCTS        
Insect trap PMC small dish ..................... ..................... +..................... =.....................
Insect trap PMC big dish .....................
..................... +..................... =.....................
OFFER 1
20 Insect traps PMC small dish (For Diptera, Lepidoptera ) & bait's ingredients & instructions manual
.....................
..................... +..................... =.....................
OFFER 2
20 Insect traps PMC big dish (for Coleoptera and Common Fly ONLY) & bait's ingredients & instructions manual.
.....................
..................... +..................... =.....................
PARTS
 
Sponge (big), 9 cm in external diameter ..................... ..................... +..................... =.....................
Sponge (small), 6 cm in external diameter ..................... ..................... +..................... =.....................
         

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!

 

Print Order Form See Order Form in Word



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