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   Order form

 

APPLICANT INFORMATION
Dr Mr
Ms Mrs
 
Name (first & last): *
Adress: *
City:
Zip/Postal:
Phone: Fax:
Email:
*
COMPANY INFORMATION
Company Name: *
Company Adress: *
Room/Maildrop:
Zip/Postal:   Country:
City:   State:
Phone: Fax:
Email: *
PUBLICATION ORDER FORM
QUANTITY
BOOK TITLE
PRICE dinars
Total (Including Taxes): dinars
Note: 
Shipping costs is included in price,
 for all non-tunisian orders
PAYMENT OPTIONS
Check or travelers check in the amount of       payable to: Entreprise Tunisienne d’Activités Pétrolières (ETAP)
Bank Transfer in the amount of        payable to: Entreprise Tunisienne d’Activités Pétrolières (ETAP)

Account 10006035176 275 578873 at :
Société Tunisienne de Banque
(S.T.B)
11, avenue Khéreddine Bacha
1002 Tunis Belvedère Tunisia


Note:
The shipping of one or several documents to purchasers will be made only after the reception of a credit notice justifying the Bank Transfer in favour of ETAP.


(*) required information