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					INSTITUT JULES BORDET : 121 bd de Waterloo, 1000 Bruxelles
Tel : 02/541.31.11

Patronage (Associations and Voluntary Work)
"Notre Boutique", asbl

Greeting Cards 2009-2010 : Purchase Order

"Notre Boutique" non-profit organisation - boulevard de Waterloo, 121 - 1000 Brussels

Name : ..............................................................................
VAT : ...........................................................................
Address : .........................................................................
Phone number : ...../ .......................................................
Fax : ...../.......................................................

Nr     Title                                                                                 Quantity   Price Unit
                                                   Greeting cards 2009/2010
8      Belle Nichée, (Dubrunfaut)                                                               ...      0.50 EUR
82     Mélancolie Blanche                                                                       ...      0.50 EUR
96     Le Passeur de Rois Mages (Emile De Cocke) 1906-1977                                      ...      0.50 EUR
98     Le Lapon finnois                                                                         ...      0.50 EUR
99     Le Chat (Irène Sturbelle)                                                                ...      0.50 EUR
109    Les Jouets (Marcelle Blum)                                                               ...      0.50 EUR
111    Crèche (Fotostock )                                                                      ...      0.50 EUR
113    Lettre au Père Noël (Nadja Nallsten)                                                     ...      0.50 EUR
122    Mandala                                                                                  ...      0.50 EUR
124    Noël au Béguinage (Nadja Nallsten)                                                       ...      0.50 EUR
130    Musique rue de Flandre (Ektachrome prêté par le
                                                                                                ...      0.50 EUR
       Koninklijk Museum Voor Schone Kunsten, Antwerpen)
131    Bruxelles en fête (Nadja Nallsten)                                                       ...       1 EUR

138    Azalée (Th. Goossens)                                                                    ...       1 EUR

146    Notre Dame de Kazan (Photo gracieusement prêtée par Chevetogne)                          ...      0.50 EUR
147    Iceberg                                                                                  ...      0.50 EUR
154    Hiver au clair de lune (Jane Wooster-Scott)                                              ...      0.50 EUR
156    Rue Haute - Bruxelles (Elke Einsmann)                                                    ...       1 EUR
162    Bruxelles, Grand-Place (Eric Vancoillie) (format 115X175mm)                              ...       1 EUR
163    Orchidée                                                                                 ...       1 EUR
164    Phalaenopsis (photo de Greg Cuddiford)                                                   ...       1 EUR
165    Brassée de pivoines                                                                      ...       1 EUR
167    Pré fleuri (Bernadette Wautier)                                                          ...       1 EUR
168    Rue des chats (Marie-Louies Batardy)                                                     ...       1 EUR
     Total cards : ......... (cards 0.50 EUR) + .........(cards 1 EUR) = ........... cards              ......... EUR
                                 Special printing (minimum 100 cards)
                          Printing price in one colour (Black/Grey) on inserts
                                 Greeting + social reason (4 to 5 lines)
  (When the order is composed of "horizontal" and "vertical" cards, you have to count the price of 2 printings)
 ...   I would like to have a special impression (to be joined in appendix)
 ...   100 inserts : 69 EUR                                                                                ........ EUR
 ...   200 inserts : 77 EUR                                                                                ........ EUR
 ...   300 inserts : 84 EUR                                                                                ........ EUR
 ...   500 inserts : 102 EUR                                                                               ........ EUR
 ...   Logo (to be provided) : + 16 EUR                                                                    ........ EUR
 ...   Other print colour : + 8.50 EUR                                                                     ........ EUR
 ...   Printing on cards : on the basis of an estimate
 ...   Printing with more than one colour : on the basis of an estimate
                                                    Forwarding charges
 ...   + 2.10 EUR forwarding charges (to 20 cards)
 ...   + 6.50 EUR forwarding charges (from 20 to 100 cards)                                                ........ EUR
 ...   More than 100 cards (according to the postage rate)
                                                                              TOTAL FOR ALL THE UNITS : ......... EUR
                                                      Payment Method
 ...   I would like to have an invoice and I will pay after the reception of it (only for companies and freelancers)
 ...   Here, you will find a cheque of : ............................
       I pay out the sum of…..................... to the count n° 210-0701142-78 of "Notre Boutique - greeting
 ...
       cards"



                                              DATE                      SIGNATURE



Send the purchase order via :
- Adress : "Notre Boutique"- Cartes de Voeux, Boulevard de Waterloo 121, 1000 Brussels.
- Fax : 02/538.89.07
- E-mail : cartesdevoeux@bordet.be

                                               Update of this page : 12/2009

				
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