Order form SpectralFit BILL TO: 6 rue du Sud Company or institution: 92160 Antony Contact name: France Address: City and Postal code: Country: SIREN number: 751331539 Tel: DUNS number: 26 4A2 Fax: 5645 Email: VAT IN: FR 03 751331539 Product Quantity Unit price* Total Price SPECAIR Single 3-year license, academic** 950 _______€ € SPECAIR Single 3-year license, standard 2850 _______€ € SPECAIR 5-pack 3-year license, academic** 2850 _______€ € SPECAIR 5-pack 3-year license, standard 8650 _______€ € Other quantities: please contact us _______€ Subtotal _______€ Value Added Tax (20.0%) _______€ Total including tax _______€ *Prices valid from January 1, 2018 to December 31, 2018 **Academic rates are reserved to non-profit education or research institutions that employ undergraduate or graduate students. Name and title of institution representative: Email address and phone number: I certify that this order is eligible for the academic rate. Signature: SpectralFit SAS (Société par Actions Simplifiée) au capital de 5000 – €
Order form BILL TO: Company or institution: Contact name: Address: City and Postal code: Country: Tel: Fax: Email: SpectralFit 6 rue du Sud 92160 Antony France SIREN number: 751331539 DUNS number: 26 4A2 5645 VAT IN: FR 03 751331539 Product Quantity Unit price* Total Price SPECAIR Single 3-year license, academic** 950 € _______€ SPECAIR Single 3-year license, standard 2850 € _______€ SPECAIR 5-pack 3-year license, academic** 2850 € _______€ SPECAIR 5-pack 3-year license, standard 8650 € _______€ Other quantities: please contact us _______€ Subtotal _______€ Value Added Tax (20.0%) _______€ Total including tax _______€ *Prices valid from January 1, 2018 to December 31, 2018 **Academic rates are reserved to non-profit education or research institutions that employ undergraduate or graduate students. Name and title of institution representative: Email address and phone number: I certify that this order is eligible for the academic rate. Signature: SpectralFit – SAS (Société par Actions Simplifiée) au capital de 5000 €
Specair%20Order%20Form.docx