order form for e-dynamic.biz

www.gcbe.pt
T: 351 21 321 28 00
www.portugal4y.com
F: 351 21 342 31 24
Avenida da Liberdade, 129 www.e-dynamic.biz
E: [email protected]
7º C, 1250-140 Lisboa
Portugal
ORDER FORM FOR E-DYNAMIC.BIZ
Client Name
Head-Office
Address
Manager Name
Phone
e-mail
Tax Number / Fiscal
Number
Hereby order to GCBE – Serviços Partilhados, Lda., NIF 507.869.753 the following
products:
Date
Place of Business
Ref.
Product
Unit Price
Quantity
Total Value
Delivery Date:
Payment Method (select):
Wire Transfer (1)
Credit Card (2)
ATM/Multibanco (2)
Cash
Paypal
PT 50 0010 0000 4144223000144 – SWIFT BBPIPTPL
(1)
IBAN IBAN
(2)
Reference will be electronically delivered with the invoice
On behalf of the client:
______________________________
Name, position, date, stamp
Send this form to:



Fax +351 21 342 31 24
E-mail: [email protected]
Avenida da Liberdade, 129 7º C 1250-140 Lisboa, Portugal
Terms and Conditions of the sale:
Check our web-site http://www.e-dynamic.biz/pt-PT/Oferta/Produtos/Termos-e-Condicoes.aspx
Get more information about “On-line” sales: Check our web-site http://www.e-dynamic.biz/pt-PT/Oferta/Vendas-Online.aspx
GCBE Serviços Partilhados, Lda.
Capital Social: 20.000 EUR
NIF: PT 507 869 753
Registada na Conservatória do Registo
Comercial de Lisboa sob o nº: PT 507 869 753