Order form to be printed, filled in, and sent by post with your payment to:
Pollutec Horizons
Reed Expositions France
52-54 quai de Dion-Bouton
CS 80001
92806 PUTEAUX CEDEX
Contact: Christiane Bastien, +33 (0)1 47 56 21 16
| I order the POLLUTEC HORIZONS 2009 exhibition catalogue: |
Qty: . . . . . | x € 50 incl. VAT (+ € 6.70 postage per unit - sent by colissimo - for France) | = . . . . . . . Euros incl. VAT |
Qty: . . . . . | x € 50 incl. VAT (+ € 15 postage per unit for Europe)
| = . . . . . . . Euros incl. VAT |
| | | |
Overall total in Euros | = . . . . . . . Euros incl. VAT |
1/ Settlement by cheque
in Euros made out to Pollutec, or by bank transfer to:
CIC SUD SAINT AUGUSTIN GCE
102 boulevard Hausmann
75 008 PARIS
2/ Settlement by credit card:
I undersign [title] [name] [first name]................................................................... representing the company ............................................................................... allows REED Expositions France, in the context of the show .................................................... to withdraw the amout of €................ [XX= global amount of the order].
Type of card: (delete as appropriate)
> Visa
> Mastercard
> Eurocard
Card reference:
|__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__|
Expiration date: ......... /...........
Name of the debtor: ..........................................
Signature: ....................................................
3/ Settlement by bank transfer to
| BANK | BRANCH | ACCOUNT N° | ACCOUNT | NAME | ADDRESS | VAT N° |
| 30066 | 10947 | 00010067602 | 68 | POLLUTEC 2009 | C.I.C St Augustin GCE 102 boulevard Hausmann, 75008 Paris | FR 92 410 219 364 |
| IBAN : FR76 3006 6109 4700 0100 6760 268 |
Exhibitors paying by transfert must include the following phrase, "Settlement at no cost to the beneficiary" on the transfer order. Payments from abroad must be made by SWIFT transfer to No CMCIFRPP.
Please retain a completed copy of this form. The sender must meet all settlement costs.
Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . Company name: . . . . . . . . . . . . . . . . . . . . . . Contact name: . . . . . . . . . . . . . . . . . . . . . . . Position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Stamp |
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . Town: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tel.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Zip code: . . . . . . . . Country: . . . . . . . . . . . . . Fax: . . . . . . . . . . . . . . |
Order the Pollutec Horizons 2007 catalogue