PURCHASE ORDER for the EPIPOCHE unit

You want to order ? Just print the purchase order above (or copy it ), fill it in and send it back to us duly dated and signed with your payment by cheque to the following address :
APIIC-11 place de la Collégiale - 87210 LE DORAT

 

 

 

 

 

 

NAME of the farm :.............................................................................................................................

NAME of the breeder:........................................................................................................................

Address:................................................................................................................................................

Post code: ................................TOWN:..............................................................................................

Phone:.....................................Fax:.......................................Email:...................................................

I would like to order :

The EPIPOCHE unit (reader + software) for 900.00 € (VAT included)
(I enclose my payment by cheque addressed to APIIC)

 

Delivery time: 2 to 3 weeks after reception of your order.

Available: YES

Thanks to indicate your livestock number :...................................................
 this number will help us to give you a key code for your software.

 

I ACCEPT TO ORDER
DATE and SIGNATURE