../LO_perf%20orm_action.gif

../IM_en_Menu_Accueil_MA.gif
../IM_en_Menu_Introduction.gif

../IM_en_Menu_Leadership.gif
../IM_en_Menu_TeamBuilding.gif
../IM_en_Menu_Quality.gif
../IM_en_Menu_Organisation.gif
../IM_en_Menu_Service.gif
../IM_en_Menu_Communication.gif
../IM_en_Menu_MultiPurpose.gif
../IM_en_Menu_Books.gif

../IM_en_Menu_GeneralOverview.gif
../IM_en_Menu_OrderForm.gif
../IM_fr_Menu_Contacts.gif
../IM_en_Menu_CustomerInfo.gif

../LO_MA.gif

 
International Order Form N° Your Ref.  

To place an order,
please print, fill and fax this page to +32-2-675 55 29

 4 way to order

  Ordered by / Ship to:

 Call
  32 (0)2 675 53 94

 Fax
  32 (0)2 675 55 29

 Mail
  PERFORM-ACTION
 avenue de la Forêt 198
 Woudlaan 198
 B-1000 Brussels
 Belgium

 E.mail
  karin@mailleux.be

  Name  
 Job title  
 Organisation  
 Type of business  
 Adress  
 
 Post Code & Country  
 Telephone  
 Fax  
 Vat Number  
 

 Code

  Description  Language  Unit Price  Quantity  Total
           
           
           
           
           

 Post & Packing

  Bill to: if different from ordered by

Order value up to 74.37 €: 12.4 €
Order value up to 123.95 €:18.6 €
Order value up to 173.53 €: 24.79 €

Please add 1.24 € for each 24.79 €
(or part of 24.79 €) of your total order value.

VAT is not included where applicable.

Contact us for transportation outside Belgium

  Name  
   
 Job title  
 Organisation  
 Adress  
 
 Post Code
 & Country		  
 Telephone  
 Fax  
 Vat Number  

  IM_Square.gif Cheque is enclosed for total order, including shipping
  IM_Square.gif Send me an invoice
  IM_Square.gif Charge my credit card, including shipping
  IM_Circle.gif Visa   IM_Circle.gif Eurocard    IM_Circle.gif Master Card
  N°  
  Expiry date  
  Signature