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Pre-Order Form
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Download this form or
print it, and send it to COTANCE by email (
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or fax (32.2.512.91.57).
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Name |
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Company |
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Address |
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Post Code |
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Country |
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Telephone |
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Telefax |
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Trade (please tick) |
Industry |
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Trader |
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Retail |
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R&D
centre |
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Training
centre |
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Press |
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Association |
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Adminis |
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Other: |
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I'm interested in ordering the following:
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Number of CD ordered |
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Unit price |
50 € |
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Total CD costs |
€ |
* I note that this is not an official order. Upon reception of this pre-order form, COTANCE will send me a full quotation including shipping and administrative costs. The products will be shipped to me after payment on COTANCE's bank account.