ACEA TAX GUIDE 2006 ORDER FORM

ACEA TAX GUIDE 2006 ORDER FORM Kindly Note: The Tax Guide will be sent to you upon receipt of payment FREE OF BANK CHARGES, to our account N° 210-0069404-04 (IBAN BE10 2100 0694 0404) - (BIC: GEBABEBB) at FORTIS BANK, Montagne du Parc, 3, B-1000 Brussels No cheques nor credit cards nor cash accepted ! Name Company Address E-mail VAT N° Price per copy € 100.00 + VAT 6%: € 6.00 (where applicable) Paper version Sending charges € 3.50/copy for Belgium € 18.10/copy for Europe € 29.40/copy outside Europe ____________________ ____________________ ____________________ ____________________ ____________________ CD Version €0.80/copy for Belgium €1.40/copy for Europe € 1.60/copy outside Europe Number of copies Amount due VAT Postage TOTAL Date Signature ____________________ ____________________ To be sent by fax to +32 2 7387310