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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