ORDER FORM

APPROVAL AND PRE-EMPTION CLAUSES
IN JOINT-STOCK COMPANIES

All orders are sent within 24 hours of receiving payment


Unit price 19 euro TTC   (VAT 5.5%) Postage paid


For Europe VAT N° SOFICOM : FR 77 352 383 012

Company :
Name :
Job Title :
Address :
Post Code, Town :
Country :
Telephone, fax :
Email :
Quantity :
Payment :Visa card Cheque
VISA card number
expiry date
cryptogram
or CVV2 code
Note :

SOFICOM
15, rue du Docteur Lancereaux
75008 PARIS - FRANCE
Tel : (33) 01 42 56 45 71
Fax : (33) 01 42 56 45 72
RCS : PARIS B 352 383 012

SOFICOM remains the sole receiver of the informations sent by this order form. In accordance with the loi Informatique et libertés of the 6 january 1978 (Computer and freedom law), you have the right to access, rectify or remove any personal information pertaining to you by contacting us.


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