Podložka myöi EFN

öi›te užiteúní informace o jaderní energii

Ideölní podložka myöi pro domov i kancelö›
propagace jaderní weboví strönky !

Krösnö podložka myöi EFN !

Prosvìtlete vaöi kancelö› !
Surfujte a tìöte se ze svího poúítaúe !

Originölní dörek : nabídnìte podložku myöi
vaöim p›ötel¿m, koleg¿m a rodinì

Specielní cena p›i 10 kusech !

Rozmìry : 235 mm öí›ka x 195 mm v¿öka x 3 mm tlouöíka

PODLOíKY MYöI EFN jsou dodövöny p›ímo na vaöi adresu poötou. Objednövka : VYPLÏTE, VYTISKNíTE a ODEöLETE tento objednövkov¿ formulö› spoleúnì s vaöí platbou öekem na :

Association des Ecologistes Pour le Nucleaire
55 rue Victor Hugo, F-78800 Houilles, France
E-mail :
mousepads[at]ecolo.org
(spam prevention: replace [at] by @)

PØÍJMENÍ*:

JM÷NO*:

ADRESA*:

PSÆ*:

OBEC*:

COUNTRY*:

OBEC*:

TELEFON:

FAX :

PROFESE:

VíK:

years


(*) Required zone
 

ANO, röd bych obdržel PODLOíKY MYöI EFN, prosím, zaölete :

 PODLOíKY MYöI EFN za kus:

6 Eur x

podložek myöi =

Eur

 PODLOíEK MYöI EFN (krabic po 10 ks):

35 Eur x

krabic po 10 ks =

Eur


Tato cena zahrnuje poötovní do celího svìta standardní LETECKOU DOPRAVOU.

  VOLITELN¿ POZEMNÍ PRIORITY DOPRAVA (po celím svìtì) (shipment is free for non urgent shipment)

doprava PRIORITY / za kus:

2 Eur x

podložek myöí =

Eur

doprava PRIORITY /krabic po 10 ks :

10 Eur x

krabic po 10 ks =

Eur


Vöechny platby musí b¿t v Euros. öeky budou vystaveny na francouzskou banku (není-li vaöe banka ve Francii, bude tento öek vystaven vaöí bankou).

Pro objednövky > 200 ks : se spojte s EFN

Celkovö darovanö úöstka: Euros placeno: credit card öekem p›evodem
na úúet: "Environmentalists For Nuclear Energy"

 

Datum :   Podpis :


_______________________________________________________________________________________________________________________
To pay by credit card, note the amount of your payment and click on the small icon just below :

  

Payment by credit card (in Euros): 1/ fill out, print (on paper or PDF), and fax this page to +33 9 55 29 00 22or e-mail it in PDF format to nuc-cz[at]ecolo.org (spam prevention: replace [at] by @) - 2/ click on the visa card logo and follow the instructions. Most credit cards are accepted (Visa, Mastercard, American Express...). The amount of your payment will be debited from your credit card account. Do not send your credit card number to EFN, please make the payment yourself as indicated by clicking on the visa card above. The transmission of your credit card number is securized by https protocol.

Payment by cheque (in Euros): fill out, print, and send this membership registration form by traditional mail with your cheque. Cheques are to be denominated in EUROS and to be drawn on a French bank. If your bank is not in France, ask your banker to prepare a cheque drawn on a French bank. Eurocheques are not accepted.

Payment by wire transfer (in Euros): 1/ fill out, print (on paper or PDF), and fax this page to +33 9 55 29 00 22 or e-mail it in PDF format to nuc-cz[at]ecolo.org (spam prevention: replace [at] by @) - 2/ send an e-mail to nuc-cz[at]ecolo.org asking for instructions concerning payment by wire transfer. You will receive instructions by e-mail.

According to the law, you have the right to access and correct the computerized information which concerns you.