Pagides Entomon PMC • Nik. Gatsou 21 • 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: ++30-24210-76244.
  • 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!