Simdex Future Pipeline Projects Worldwide Guide Subscription Form - PDF

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Simdex Future Pipeline Projects Worldwide Guide Subscription Form - PDF Powered By Docstoc
					               Simdex Future Pipeline Projects Worldwide Guide
                                                    Subscription Form
                                                                                      Date
1. Fill out the form (capital letters)
2. Scan the form (to pdf, …) and email to order@simdex.com or fax it to + 33 139 568 800

Company
Business sector
Group
Full street address
(with Zip code, without
PO Box)

Country
Phone (switchboard)
Web site

Name
Position
Email
Phone (direct line)

Subscription
                                                          euro           USD              GBP
 12 month             1 or 2 users                      790            990             690
                      3 to 5 users                     1190           1490             990
                      6 to 10 users                    1590           1990             1390

 24 month             1 or 2 users                     1490           1890             1290
                      3 to 5 users                     2190           2790             1990
                      6 to 10 users                    2990           3890             2690

Payment from companies in Europe must be made in euros.
Prices include the shipping of the CDRom by express delivery (FedEx)
Multi users: users must be in the same location of the same company
1 user = 1 copy of the Simdex program installed on one computer
VAT      Countries in the European Union: 19.6 % VAT - no VAT if company VAT registration number is indicated:
         France: 19.6 % VAT - Countries outside the European Union: no VAT

How did you hear about the Simdex Future Pipeline Projects Worldwide Guide:
           Ì Internet search Ì email Ì brochure by mail   Ì trade show Ì recommended by other users
           Ì other:

Payment - Ì Credit card                                                  Ì Bank transfer

Ì Visa       Ì MasterCard      Ì American Express                        Company / Account name: Simdex Publishing
Card number                                                              Bank : BNP Paribas
Expiration date                                                          Bank address: 390 rue Louis Blériot 78530 Buc France
                                                                         Bank code: 30004 Agency code: 01146
Cardholder's name                                                        Account number: 00010009142 Key: 24
                                                                         IBAN : FR76 3000 4011 4600 0100 0914 224
Cardholder's signature                                                   Swift / BIC Code: BNPAFRPPVRS

                                                                         Ì Please send me a proforma invoice


SUBSCRIPTION
The subscription is automatically renewed. Send a fax to Simdex Publishing at least one month before the end of
the subscription period to terminate the subscription.
Internet data updates are provided every two months during the subscription. The program is designed to operate on one
computer per authorised user and is not designed to operate over a network.