:: Order form "X-Ref PCT" 2010

The Order Form below is to ORDER the 2010 edition of the X-Ref PCT.

Please fill out the Order Form below. You will receive an invoice with your order.
Only when you press the "submit" button below, your order is placed and you will receive a confirmation by e-mail.

Personal information
Company name:

(if applicable)
Your name:
Your e-mail address:
Telephone number:
Company or private order: Private

(no VAT no. required)

Company within EU

(please give VAT no. below)

Company outside EU

(no VAT no. required)
VAT number:

(if applicable)

Please note: according to Dutch tax rules, if a company (outside the Netherlands but inside the EU) does not give a company VAT number, we have to regard this as a private sale and add 6% VAT.
Purchase Order:

(if applicable)

Order information
Are you a returning customer: No Yes
How many books do you require?
(€ 63.50 each)

Invoice Address
Address:

(Street and Number)
ZIP-code:
City:
Country:

Shipping Address:

(only if different)
Address:

(Street and Number)
ZIP-code:
City:
Country:

Payment information
Payment by: Bank transfer
Bankers draft
PayPal (creditcard)

Other information
How did you hear about the Cross-Ref. PCT?
Any other comments?