HW group - Manual Order Form

HW group s.r.o.	Voice:	00 420 222 511 918
Rumunska 26/122	Fax:	00 420 222 513 833
Prague 2, 120 00	internet:	www.HW-group.com
Czech Republic – Europe	email:	orders@HWg.cz

ID:
NAME:
EMAIL:
COMPANY:
PHONE:
VAT NUMBER:	(VIES)

Delivery address:	Invoice address:

Quantity	Item OID	Item Name (Check in: Product OID list)	Unit price	Total

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Shipping:	Other Countries 46€	Europe 33€	Shipping cost is valid for small order only, it depends on the country and total weight.
	USA 38€	Asia 42€

Payment:	Wire transfer	Just fill and send this form, we’ll send you proforma invoice by email in .PDF format.
	Credit Card VISA or Eurocard/MasterCard	Fill this form (without your credit card data), print it, fill your card data, sign and fax to our fax number (+420 222 513 833). Please accept our apologize, but we can’t accept your Credit Card data and authorized sign in any other way, than hand signed and faxed (scanned) is.

	Date	YYYY/MM/DD,
	Name on the card
	Card Number
	CVS Code	Expiration Date:
	Authorized Sign:	Total: EUR Please withdraw given amount from my account.

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HW group - Prague - Czech republic - Europe