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EPICA - 112bis rue Cardinet, 75017, Paris, France Tel: + 33 (0) 1 42 04 04 32 - Fax: + 33 (0) 1 45 06 02 88 - [email protected] - www.epica-awards.com
EPICA is a division of MAYDREAM S.A. (capital of € 817,131) - 411 475 114 RCS Nanterre – VAT number: FR56 411 475 114
EPICAAWARDSTROPHYANDCERTIFICATEORDERFORMYourCompanyDetailsCompany:Address:City: PostalCode: Country:YourTitleandName:Email:Telephone: Mobile:VAT#(MandatoryforEuropeanUnioncompanies):YourOrderPleasedescribethenatureofyourorder–IfitisaTrophyoraCertificate,forwhatkindofTypeofAward(GrandPrix,Gold,Silver,Bronze)–andspecifytheYear,AgencyName,Country,CategoryandCampaign.Ifitisabookpleaseindicatetheyearandifitisabrandtribute,thetributedbrandoragency.
ITEMS QUANTITY PRICES TOTAL
GRANDPRIXtrophy x450Euros =EurosGOLDtrophy x400Euros =EurosSILVERtrophy x200Euros =EurosBRONZEtrophy x200Euros =EurosCERTIFICATE(allawards) x80Euros =EurosEPICABOOK x80Euros =EurosBRANDTRIBUTE x40Euros =Euros
TOTALOFYOURORDER Euros
EPICA - 112bis rue Cardinet, 75017, Paris, France Tel: + 33 (0) 1 42 04 04 32 - Fax: + 33 (0) 1 45 06 02 88 - [email protected] - www.epica-awards.com
EPICA is a division of MAYDREAM S.A. (capital of € 817,131) - 411 475 114 RCS Nanterre – VAT number: FR56 411 475 114
PAYMENTMETHODS:-CreditCard:Afterreceivingthisform,wewillemailyoualinktooursecurecreditcardpaymentpage(3%creditcardchargeapply).-BankTransfertoAccountholder:Maydream/EpicaAccountIBAN:FR7630056000150015204408126BIC/SWIFTcode:CCFRFRPPBankname:HSBC,40ave.Ch.deGaulle,92200NeuillysurSeine,FrancePleasenotethatyourtransfermustincludeallcharges.-CheckpayabletoMaydream/EpicadrawnonaFrenchbankBillingaddress(ifdifferentfromyourCompanyDetails)Title:Name:Company:Address:City: PostalCode: Country:Tel: GSM: Email:Deliveryaddress(ifdifferentfromyourCompanyDetails)Title:Name:Company:Address:City: PostalCode: Country:Tel: GSM: Email:Pleasereturnthisformcompletedbyemailtoshop@epica-awards.com.Pleasewaitforourconfirmationbeforeproceedingtopayment,assomeprizesmightnotbeavailableanymore.Onceconfirmed,pleasemakesurethepaymentforyourorderiswithuswithin10daysoryourorderwillbecancelled.Wewillshipyourorderassoonaswereceiveyourpayment.EpicaAwardscontactdetails:Maydream/EpicaAwards112bisrueCardinet75017ParisFranceTel:+33142040432
Thankyouforyourorder!