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					pubLiCations - thank you for faxing this ordEr form to 33 4 72 60 65 09
1
n franCE
• thE book CoLLECtions a201011w
catalogue Première Vision priCE in t V.a.T. 5.5% included postagE in t V.a.T. 19.6% included totaL incl. V.a.t. Quantity totaL incl. V.a.t.

payment 2 Tick one only method
Cheque made payable to prEmièrE Vision s.a. in euros only. bank draft directly to:
SociéTé générale - Tour Société Suisse / 1, bd Vivier Merle / 69443 lyon cedex 03 accounT nuMber: 30003/02280/00025718713/76 iban: Fr76 30003 02280 00025718713 76 SWiFT: SogeFrPP

35 125 90 28.50

+ + + +

5.08 3.85 2.18 5.07

=

40.08

x x x x

= = = =

• CoLour-rangE Card prEmièrE Vision
201011 • CoLour-rangE Card prEmièrE Vision summer 0 • book «men under construction»
autumn winter

sold out

= 128.85 = = 92.18 33.57

Credit card: >
Holder’s name card number on card reverse date

ViSa

eurocard

aMerican exPreSS

totaL (incl. V.a.t.)

.................................................................

1B

n outsidE EuropE n EuropEan union (EEC) with V.a.t. numbEr > V.A.T. number: compulsory for a tax free payment _______________________________________
priCE in t excl. V.a.T. postagE included Quantity totaL excl. V.a.t.

expiry date

. . . . . . . . . . . . . . . . . . . . . . . . . company Stamp

card holder’s signature (mandatory)

• thE book CoLLECtions a201011w
catalogue Première Vision • CoLour-rangE Card prEmièrE Vision autumn winter 201011 • CoLour-rangE Card prEmièrE Vision summer 0 • book «men under construction»

45.68 127.98 90.06 39.51

x x x x
totaL (excl. V.a.t.)

= = = =

sold out

3 identity
company: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . invoicing address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................................................... Post code: . . . . . . . . . . . . . . . . . . .Town:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . country:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1C

n EuropEan union (EEC) without V.a.t. numbEr
priCE in t V.a.T. 5.5% included postagE in t V.a.T. 19.6% included totaL incl. V.a.t. Quantity totaL incl. V.a.t.

Tel.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

• thE book CoLLECtions a201011w
catalogue Première Vision • CoLour-rangE Card prEmièrE Vision autumn winter 201011 • CoLour-rangE Card prEmièrE Vision
summer

35 125 90 28.50

+ + + +

14.95 11.36 5.68 14.95

=

49.95

x x x x

= = = =

e-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . contact name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Job title:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

sold out

= 136.36 = = 95.68 43.45

0

• book «men under construction»

totaL (incl. V.a.t.)

lYon / 20 bouleVard eugène deruelle 69432 lYon cedex 3 France / Tél : 33 [0]4 72 60 65 00 / Fax : 33 [0]4 72 60 65 09 www.premierevision.fr / e-mail : info@premierevision.fr


				
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posted:11/26/2009
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