Order Form -FR
(Optional fields are marked with *)
To: ITEM intl. Order Desk

SHIPPING ADDRESS :
 
First Name
Last Name
Company Name *
Street Address
(We cannot ship to P.O. Boxes)
City
State (Required only in the USA) * 
Zip / Postal Code
Country
 
   
CONTACT INFORMATION :
 
Telephone Number
(Including Country and Area Code) 
Fax Number
(Including Country and Area Code) * 
E-mail address
(to send you the order confirmation and shipping details) 
 
PRODUCT :
 
One IP Telephony Handset, P/N IPT 2.12 € 24,90 HT
  € 29,78 TTC
plus S&H France (€ 4,80) :		 €34,58
Two IP Telephony Handsets, P/N IPT 2.12 € 49,80 HT  
  € 59,56 TTC
plus S&H France (€  6,00) :		 €65,56
 
   
CREDIT CARD DETAILS :
 
Credit Card  Visa 
EuroCard 
MasterCard 
Card Number   (with spaces)
Expiration Date   /   (mm/yyyy)
Card Holder Name 
 
 
 
Signature: ________________________________________________________
 Print and Fax to : +33 8 2189 6245
or send by mail to: ITEM intl., 5 sentier de l'Ecole Polytechnique, 91120 PALAISEAU
 
Sales : Tel. +33 1 69 31 06 23, Fax. +33 8 2189 6245 or E-mail : sales@item-i.com
Copyright © 1998-2008 ITEM intl. SARL