Bon de commande AUTOCAMION ( Assistance) by olr10626

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									TripY S.A.
Faubourg de Bruxelles, 320
6041 Gosselies - Belgium
Phone: + 32 (0)71 34 74 90
Fax: + 32 (0)71 34 73 99
E-mail Commande : g.douillez@tripy.be
Web : www.tripy.eu TVA BE873.678.307
PURCHASE ORDER TRIPY KIT ACCESSORIES FOR CARS / TRUCKS
DAKAR 2010 ASSISTANCE VEHICLES (Mandatory KIT)                                                            --- page ½
For the Assistance teams, the GPS rental fee is included in the ASO vehicle fee. The rented equipment deposit is already foreseen
in the ASO deposit. The Tripy II-TRMCC GPS deposit is 870 € Tax incl.
1) Please complete and FAX this order in 2 pages to nr +32 71 34 73 99 for our information.
2) Order and pay the Tripy Kit accessories (mandatory) via PAYPAL on www.tripy.be/Dakar2010
                                            Deadline payment = 10th of november 2009
3) Tripy will send your order by carrier when your payment is effective.
4) Install your accessories (power cord+GPS antenna+RAM-Mount).
5) For information, GPS Tripy II -TRMCC will be delivered in Le Havre (or Buenos Aires)
6) A technical control will be operated by Tripy in Le Havre (or Buenos Aires).
                                                                                                     QT
        Id                                         Description                                              P.U. HT     TOTAL
                                                                                                     Y
    1 KIT       including 4 accessories 6150+6155A+6001+6021
     TII-       (GPS antenna+power cord+Ram-Mount)                                                          139,00 €
  DAKAR2010     for 1 GPS Tripy-II-TRMCC
 Accessoires en options :
 6021           RAM-ball 7/16" DIA.BASE WITH 1" BALL                                                       12,81 €
 6150           Power supply cord 12V                                                                      47,93 €
 6155A          Magnetic antennae                                                                          58,00 €
 6001             Standard socket arm length B ~8cm                                                        20,25 €
 6002             Special socket arm - short - length A ~5cm                                               20,25 €
 6003             Special socket arm - long - length C ~14cm                                               20,25 €
 6004             RAM-ball Motorcycle side - normal handlebar U-mount                                      12,81 €
 6006             RAM-ball Motorcycle side - kingsize handlebar double U-mount -                           40,91 €
 6007             RAM-ball Motorcycle side - Modular stacking                                              28,51 €
 6008             RAM-ball Motorcycle side - flat clamp with hole for M8 screw                             20,25 €
 6009             RAM-ball Motorcycle side - bended clamp with hole for M8 screw                           20,25 €
 6010             RAM-ball Motorcycle side - Stud with 3/8"-16 thread                                      11,98 €
 6011             RAM-ball Motorcycle side - Stud with 1/4"-20 thread                                      11,98 €
 6012             RAM-ball Motorcycle side-Hex threaded hole 1/4"-20+mating thredead stem                  20,25 €
 6051             RAM CLAMP BASE W/BALL 50 mm WIDTH                                                        43,00 €
 6071             Large RAM-succion cup dia 110mm                                                          24,79 €
 6073             RAM base ball RoadMaster side (4 holes)                                                  12,81 €
 6074             RAM base ball RoadMaster side (2 holes)                                                  8,26 €
 6075             RAM clamp for fast yoke mounting                                                         28,51 €
   Check more on www.tripy.eu >Sales>Price list ----TOTAL EXCLUDING TAXES AND SHIPPING COSTS :




More accessories on www.tripy.eu > Sales > Price list
EM.: no need converter 12-24v for TripyII-TRMCC because admission power range from 6-28V to 5V
                                                                                                                  - page 1/2




                                                                   The Freedom to ride www.tripy.eu Tripy is made in Belgium
FO0006EN_RevF_KIT_TripyOrderDAKAR2010 doc                                                                              09/09/09
TripY S.A.
Faubourg de Bruxelles, 320
6041 Gosselies - Belgium
Phone: + 32 (0)71 34 74 90
Fax: + 32 (0)71 34 73 99
E-mail Commande : g.douillez@tripy.be
Web : www.tripy.eu TVA BE873.678.307
Purchase Order CARS / TRUCKS DAKAR 2010 ASSISTANCE VEHICLES                                                                                          page 2/2

I NV OI CI NG add r es s - P lea se f il l in ca pi ta ls, com pu lso ry f ie lds (* )

Name / Company*........................................................................................................ .................
Address*........................................................................................................................................
Post Code* .............................................. Town*..........................................................................
N° EU. ( V.A.T.)* ........................................................ ..................................................................
Country*.........................................................................................................................................
Phone*: .......................... ............................................. ................................................................
Fax*: ........................................................................... ..................................................................
Email*:............................................................................................................................................
Team Dakar 2010*:……………………………..Auto race nr:……………Truck race nr :…………….
DE LI VERY a ddr es s on ly i f d i ff e r e n t t h a n I N V O I C I N G a d d r e s s
Name / Company..........................................................................................................................................
Address................................................................... ........................................................................... .......
Post Code ............………………………….Town*......................................................................................................
N° EU. ( V.A.T.) ......................................................................................................................... .................
Country................................................. ..................................................................................................
Phone:.......................................... .........................................................................................................
Fax: ................................................................ ........................................................................... .................
Email:.......................................................... ........................................................................... ....................


TE AM DR IV E RS i nfor ma ti on
TEAM*.................................................................................Team nr…X / Y….in your organisation.
Dakar 2010 Race Nr*.................................................................................................................................
Name Driver*.............................................................................................................................................
Country* ….................................................................................................................................................
GSM* : …...................................................................................................................................................
                                                                                                                          .................................
Email :…............................................ .......................................................................
Name Codriver(s)*.......................................................................................................................................
GSM* :…....................................................................................................................................................
Email :…....................................................................................................................................................
Material delivery location (choose now the location you wish) : HAVRE / BUENOS AIRES
Please give all information about TEAM+RACE NUMBER+DRIVER’S NAME for as many teams as necessary

                                                                                                    For approval, (date / stamp pad / signing) :
         For the Assistance teams, the GPS rental fee is included in the ASO vehicle fee. The rented equipment deposit is already
                                                foreseen in the ASO deposit. The Tripy II-TRMCC GPS deposit is 870 € Tax incl.




To be returned by fax or mail before 10thnov. 2009 except for order via our website (via Paypal)
( +32 71 34 73 99 - g.douillez@tripy.be )
                                                                                                                                                    - page 2/2




                                                                                        The Freedom to ride www.tripy.eu Tripy is made in Belgium
FO0006EN_RevF_KIT_TripyOrderDAKAR2010 doc                                                                                                                   09/09/09

								
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