ORDER FORM FOR PROFESSIONAL LEGAL & OTHER SERVICES

Payments made by cheques, transfers & electronic fund transfers like Western Union


The Internaut hereby acknowledges to have read the informations on the on line service(s) ordered, its/their price and the terms of payment of thesaid price as well as the terms of delivery. He/she also acknowledges to have the legal capacity to conclude this Contract.

This Form entails optional spaces that you are not obliged to fill but also compulsory spaces with this (*).If you do not fill these blank spaces, your message cannot be sent.





First and Last name or Company name (*)

Name of the person in charge of the order (companies only)
(*)


Address (street or PO Box) :
(*)
City : (*) Country : (*)


Email :
(*)
Fax : Country code: Number :

Wishes to order the following service(s) in connection with the estimate(s) mentioned hereunder :
Title of the service(s) concerned (*)
Code (*)
Price (*) (taxes excluded) (**)
1
2
3
(**) VAT to add for orders from Cameroon (19,25%)
TERMS OF DELIVERY
At the following email (PDF files) : (*)

Expected delivery date (subject to the information on your actual payment) : (*)
I/we also want a paper copy to be sent to me/to us at the following address (by regular post mail or express international mail service at my/our expenses and I/we will be informed of the amount to pay ) :

References of the payment made in favour of Cabinet Mandessi Bell/Ohada Legis (*) :



Payment information (*) :

. in the event of payment by bank tranfer : name and address of the bank, amount paid and date of the transfer, file n° ;
. in the event of payment by cheque : name and address of the bank, amount paid, date and n° of the cheque;
. in the event of payment by electronic fund transfer : name and address of the transfering company, file n°, question and answer or code.

In (city) (*) date (*) (dd/mm/yy)

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