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Version 09 03 2009 by ntn16904

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Contractor Order Form document sample

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									                                                                                                                                         Version 09.03.2009
                                                                          ORDER FORM                                            Contractor's details
                                EACEA                         (to be mentioned in all correspondence)               Mr/Mrs,
                                                        No: EAA 2009-                                               Address
Education, Audiovisual & Culture
        Executive Agency
Unit:                                                   Country of origin:                                          [VAT registration number]
Contact person                                          Currency of payment: EUR
                                                                                                                    IBAN


This purchase order is governed by the general conditions attached in annex 1

                                   DESCRIPTION OF THE SERVICES                                                         UNIT     QUANTITY         PRICE in (Euro)
                                                                                                                                            UNIT PRICE     TOTAL
The contractor shall perform the tasks defined hereunder:




Annex I – General Conditions
Annex II – Declaration of absence of conflict of interest
(additional annexes may be added if necessary




                                                                                                                    MAXIMUM TOTAL AMOUNT:
                                                                                                                    The total amount to be paid will be calculated in
Pursuant to the provisions of Articles 3 and 4 of the Protocol on the Privileges and Immunities of the European     accordance with the number of days actually
Communities, the Commission is exempt from all taxes and dues, including value added tax, on payments due           worked.
in respect of this Contract. In Belgium, and in Italy, use of this Contract constitutes a request for VAT
exemption. In this case, the invoice must include the statement refer to in article 4,1 of the general conditions


Place of delivery or implementation:                                                                                             Contractor's signature
(please indicate EACEA address or contractor's premises)

Execution of the tasks shall start from
and will have to be completed by                                                                                    Name:
Terms of payment:        30 days after receipt of invoice on condition that delivery is consistent
                         with the order                                                                             Date :

Date :
Signature [name and title]:



The request for payment will only be accepted with a copy of this order form signed by the contractor.

								
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