ORDER FORM GSA/OP/22/16/XXX (wfid:XX) (to be mentioned in all correspondence & Invoices) European GNSS Agency Country of origin : Czech Republic Janovskeho 438/2 Currency of payment : EUR [Name and address of the Contractor] 170 00 Prague 7 Code country of origin : CZ Czech Republic TOTAL DESCRIPTION OF THE GOODS/SERVICES UNIT (in CZK) This order form is governed by framework service contract GSA/OP/22/16 VAT TOTAL : Delivery place : Janovskeho 438/2 For GSA For Contractor 170 00 Prague 7 (Confirmation that the order has (Confirmation that the order has been Czech Republic been accepted) accepted) Name: Carlo des Dorides Name : Position: Executive Director Position : Payment: 30 days from receipt of invoice Date : Date : Warranty : not applicable
ORDER FORM GSA/OP/22/16/XXX (wfid:XX) (to be mentioned in all correspondence & Invoices) European GNSS Agency Janovskeho 438/2 170 00 Prague 7 Czech Republic Country of origin : Czech Republic [Name and address of the Contractor] Currency of payment : EUR Code country of origin : CZ DESCRIPTION OF THE GOODS/SERVICES UNIT TOTAL (in CZK) This order form is governed by framework service contract GSA/OP/22/16 VAT TOTAL : Delivery place : Janovskeho 438/2 170 00 Prague 7 Czech Republic For GSA (Confirmation that the order has been accepted) Name: Carlo des Dorides Position: Executive Director Date : For Contractor (Confirmation that the order has been accepted) Name : Position : Date : Payment: 30 days from receipt of invoice Warranty : not applicable
gsa-op-22-16_-_annex_i.g._model_order_form.docx