FAX AND POST ORDER FORM (please read the payment methods and sales conditions)

PRINT THIS FORM AND FAX IT TO S.A.M. AT: +46 (0) 31 708 26 81 (or send it by post)

INFORMATION
Surname and Name:
Company name : (only for companies)
Adress:
Postcode:
City:
Country:
Phone: (required)
Fax : (optional)
E-mail : (optional)
Client number : (if you are a previous client)
VAT-no. or ORG-nr.): (only for companies)
ORDER ITEMS
PART NO ITEM QTY * Price SEK
excl. VAT
95099010 S.A.M. Catalogue with Sport & Competition products for Renault, in Swedish 30 SEK **
- Brochure with Aspen Racing Fuel, in Swedish 0 SEK **
** Add 50 SEK to the catalogues prices for postage and handling charges when ordering only catalogues for delivery outside the Scandinavian countries.
PART NO. ITEM QTY * Price SEK
excl. VAT
SEK
SEK
SEK
SEK
SEK
SEK
SEK
SEK
For delivery outside Sweden there will be an handling charge of 70 SEK excl. VAT added. This is not applied for catalogues.
TOTAL COSTS
* All prices are in SEK and exclusive VAT, postage and handling charges except for catalogues for which prices include VAT, postage and handling charges.

When ordering parts, please fill
in the information below.

 Sub Total SEK:

Freight/Postage/Handling:

Sales Tax 25%:
(see sales conditions) 

Total SEK:

CAR INFO
CAR BRAND AND MODEL:

(For example: Volvo S40 T4)		 FABRICATION YEAR / YEAR MODEL:
 GEARBOX:
Manual
Auto
PAYMENT METHOD
Visa credit card Bank transfer
American Express credit card Pre-payment by Postgiro (only clients in the Scandinavian countries)
Euro Card credit card Cash on delivery by Postförskott (only clients in Sweden)

Master Card credit card

MESSAGE OR QUESTIONS TO S.A.M.

PRINT THIS FORM AND SEND IT TO S.A.M. BY:

FAX:

+46 (0) 31 708 26 81
POST:
 S.A.M. Steffansson Automotive AB
Bror Nilssons gata 4
S-417 55 Göteborg
SWEDEN