The merchandise ordered is delivered by traditional mail. To order, print and sign this order form, and send it with the payment to : TNR TECHNOLOGY, 266 avenue Daumesnil 75012 Paris France Phone : +33 1 30 86 00 33 - Fax. : +33 9 55 29 00 22 - E-mail : filtration[at]tnr.fr The payment can be made by : credit card (Visa, Mastercard, American Express), wire transfer, or cheque in Euros to be drawn on a French bank (see payment instructions below). Name* : First name* : Company : Eur VAT# ** : Address* : Zip code* : City* : Country* : Afghanistan Albania Algeria Anguilla Antigua Andorra Angola Anguilla Antarctica Antigua-and-Barbuda Arab United Emirates Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrein Bangladesh Barbade (La) Belgium Belize Benin Bermudes Bhoutan Bielorussia Bolivia Bosnia-Herzegovin Botswana Brazil British Territories of Indian Ocean Brunei Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cap-Vert Chili China China (Hong Kong) China (Macao) Colombia Comores Islands Congo Congo Republic of Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antillas Egypt Equator Erythrea Estonia Ethiopia Federation of Russia Fidji Finland France Gabon Gambia Georgia (former soviet republic) Georgia South and Sandwich Islands Germany Greece Grenada Groenland Guadeloupe (France) Guam Guatemala Guinea Guinea (Equatorial) Guinee-Bissau Guyana Guyana (French) Haiti Honduras Hungary Iceland India Indonesia Irak Iran Ireland Island of Christmas Island of Norfolk Islands of Svalbard and Jan Mayen Island of Bouvet Islands of Caiman Islands of Cocos-Keeling Islands of Cook Islands of Feroe Islands of Heard and Mc Donald Islands of Falklands Islands of Marshall Islands of Salomon Islands of Tokelau Islands (Turkish and Caicos) Islands (American Virgin) Islands (British Virgin) Israel Italy Ivory Coast Jamaica Japan Jordania Kazakhstan Kenya Kirghizistan Kiribati Korea (South) Korea (North) Koweit Lesotho Lettonia Liban Liberia Liechtenstein Lituania Luxembourg Lybia Macedonia (Ex-Yugoslavia) Madagascar Malaysia Malawi Maldives Islands Mali Malte Mariannes (Northern Islands) Marocco Martinique (France) Mauritania Mauritius Island Mayotte Islands Mexico Micronesia Moldavia Monaco Mongolia Montserrat Mozambique Myanmar (Union of) Namibia Nauru (Republic of) Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Ouganda Ouzbekistan Pacific (American Islands of) Pakistan Palau Panama Papouasia New-Guinea Paraguay Perou Philippines Pitcairn (Islands) Poland Polynesia (France) Porto Rico Portugal Qatar Republic of Central Africa Republic of Laos Reunion Island (France) Romania Rwanda Sahara occidental Saint Lucie Saint Marin Saint Pierre and Miquelon Saint Vincent and Grenadines Saint Helen Island Salvador Samoa Samoa (American) Sao Tome and Prince Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Slovenia Somalia Soudan South Africa Spain Sri Lanka St Christopher and Nevis (Islands) Sweden Switzerland Suriname Swaziland Syria Taiwan Tajikistan Tanzania Tchad Terres Australes (France) Thailand Timor (oriental) Togo Tonga Trinite-and-Tobago Tunisia Turkmenistan Turkey Tuvalu (Islands) Ukrain United Kingdom United States Uruguay Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Yugoslavia Zambia Zimbabwe E-mail* : Phone : Fax : Profession : Age : (*) Required zone - (**) European VAT number, required zone, only for companies located in European countries other than France Please send me the following merchandise : Complete FILTRATION kit 152 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros Additional cost for ceramic tap 30 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros ACTIVE CHARCOAL cartridge 40 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros Packaging and transportation cost 10 Euros = 10 Euros The FILTRATION KIT includes : connection to copper tube diameter 8 to 12 mm, pre-filter, active charcoal cartridge and its fixing system, tubes, tap delivering filtrated water, joints, instructions for assembly, individual packaging. The FILTRATION KIT does not include : installation (to be done under your own guidance and responsability), installation tools, maintenance, renewal cartridges. Wholesale orders : contact TNR TOTAL PAYMENT : Euros paid by : credit card electronic wire transfer cheque at the order of : TNR TECHNOLOGY Date : Signature : To sign, you can sign the printed paper version if you print this page on paper and send it by fax or mail, or please type into this "signature" zone your name or any alpha-numerical code legally representing your signature, for example : /John Smith/ or /jsmith8492xfp8902/ if this page is transmitted electronically. FIRST STEP : print and send this completed page This page should be sent to TNR TECHNOLOGY by fax to +33 1 30 86 00 10 or by e-mail in the form of a PDF file (if you pay by credit card or electronic wire electronic transfer), or by postal mail (with the cheque, if you pay by cheque). By clicking on the "Print" button, you will print this page. You can also use the "Print" button in the menu of your navigating software.
The merchandise ordered is delivered by traditional mail. To order, print and sign this order form, and send it with the payment to :
The payment can be made by : credit card (Visa, Mastercard, American Express), wire transfer, or cheque in Euros to be drawn on a French bank (see payment instructions below).
Name* : First name* : Company : Eur VAT# ** : Address* : Zip code* : City* : Country* : Afghanistan Albania Algeria Anguilla Antigua Andorra Angola Anguilla Antarctica Antigua-and-Barbuda Arab United Emirates Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrein Bangladesh Barbade (La) Belgium Belize Benin Bermudes Bhoutan Bielorussia Bolivia Bosnia-Herzegovin Botswana Brazil British Territories of Indian Ocean Brunei Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cap-Vert Chili China China (Hong Kong) China (Macao) Colombia Comores Islands Congo Congo Republic of Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antillas Egypt Equator Erythrea Estonia Ethiopia Federation of Russia Fidji Finland France Gabon Gambia Georgia (former soviet republic) Georgia South and Sandwich Islands Germany Greece Grenada Groenland Guadeloupe (France) Guam Guatemala Guinea Guinea (Equatorial) Guinee-Bissau Guyana Guyana (French) Haiti Honduras Hungary Iceland India Indonesia Irak Iran Ireland Island of Christmas Island of Norfolk Islands of Svalbard and Jan Mayen Island of Bouvet Islands of Caiman Islands of Cocos-Keeling Islands of Cook Islands of Feroe Islands of Heard and Mc Donald Islands of Falklands Islands of Marshall Islands of Salomon Islands of Tokelau Islands (Turkish and Caicos) Islands (American Virgin) Islands (British Virgin) Israel Italy Ivory Coast Jamaica Japan Jordania Kazakhstan Kenya Kirghizistan Kiribati Korea (South) Korea (North) Koweit Lesotho Lettonia Liban Liberia Liechtenstein Lituania Luxembourg Lybia Macedonia (Ex-Yugoslavia) Madagascar Malaysia Malawi Maldives Islands Mali Malte Mariannes (Northern Islands) Marocco Martinique (France) Mauritania Mauritius Island Mayotte Islands Mexico Micronesia Moldavia Monaco Mongolia Montserrat Mozambique Myanmar (Union of) Namibia Nauru (Republic of) Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Ouganda Ouzbekistan Pacific (American Islands of) Pakistan Palau Panama Papouasia New-Guinea Paraguay Perou Philippines Pitcairn (Islands) Poland Polynesia (France) Porto Rico Portugal Qatar Republic of Central Africa Republic of Laos Reunion Island (France) Romania Rwanda Sahara occidental Saint Lucie Saint Marin Saint Pierre and Miquelon Saint Vincent and Grenadines Saint Helen Island Salvador Samoa Samoa (American) Sao Tome and Prince Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Slovenia Somalia Soudan South Africa Spain Sri Lanka St Christopher and Nevis (Islands) Sweden Switzerland Suriname Swaziland Syria Taiwan Tajikistan Tanzania Tchad Terres Australes (France) Thailand Timor (oriental) Togo Tonga Trinite-and-Tobago Tunisia Turkmenistan Turkey Tuvalu (Islands) Ukrain United Kingdom United States Uruguay Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Yugoslavia Zambia Zimbabwe E-mail* : Phone : Fax : Profession : Age : (*) Required zone - (**) European VAT number, required zone, only for companies located in European countries other than France
Name* :
First name* :
Company :
Eur VAT# ** :
Address* :
Zip code* :
City* :
Country* :
Afghanistan Albania Algeria Anguilla Antigua Andorra Angola Anguilla Antarctica Antigua-and-Barbuda Arab United Emirates Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrein Bangladesh Barbade (La) Belgium Belize Benin Bermudes Bhoutan Bielorussia Bolivia Bosnia-Herzegovin Botswana Brazil British Territories of Indian Ocean Brunei Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cap-Vert Chili China China (Hong Kong) China (Macao) Colombia Comores Islands Congo Congo Republic of Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antillas Egypt Equator Erythrea Estonia Ethiopia Federation of Russia Fidji Finland France Gabon Gambia Georgia (former soviet republic) Georgia South and Sandwich Islands Germany Greece Grenada Groenland Guadeloupe (France) Guam Guatemala Guinea Guinea (Equatorial) Guinee-Bissau Guyana Guyana (French) Haiti Honduras Hungary Iceland India Indonesia Irak Iran Ireland Island of Christmas Island of Norfolk Islands of Svalbard and Jan Mayen Island of Bouvet Islands of Caiman Islands of Cocos-Keeling Islands of Cook Islands of Feroe Islands of Heard and Mc Donald Islands of Falklands Islands of Marshall Islands of Salomon Islands of Tokelau Islands (Turkish and Caicos) Islands (American Virgin) Islands (British Virgin) Israel Italy Ivory Coast Jamaica Japan Jordania Kazakhstan Kenya Kirghizistan Kiribati Korea (South) Korea (North) Koweit Lesotho Lettonia Liban Liberia Liechtenstein Lituania Luxembourg Lybia Macedonia (Ex-Yugoslavia) Madagascar Malaysia Malawi Maldives Islands Mali Malte Mariannes (Northern Islands) Marocco Martinique (France) Mauritania Mauritius Island Mayotte Islands Mexico Micronesia Moldavia Monaco Mongolia Montserrat Mozambique Myanmar (Union of) Namibia Nauru (Republic of) Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Ouganda Ouzbekistan Pacific (American Islands of) Pakistan Palau Panama Papouasia New-Guinea Paraguay Perou Philippines Pitcairn (Islands) Poland Polynesia (France) Porto Rico Portugal Qatar Republic of Central Africa Republic of Laos Reunion Island (France) Romania Rwanda Sahara occidental Saint Lucie Saint Marin Saint Pierre and Miquelon Saint Vincent and Grenadines Saint Helen Island Salvador Samoa Samoa (American) Sao Tome and Prince Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Slovenia Somalia Soudan South Africa Spain Sri Lanka St Christopher and Nevis (Islands) Sweden Switzerland Suriname Swaziland Syria Taiwan Tajikistan Tanzania Tchad Terres Australes (France) Thailand Timor (oriental) Togo Tonga Trinite-and-Tobago Tunisia Turkmenistan Turkey Tuvalu (Islands) Ukrain United Kingdom United States Uruguay Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Yugoslavia Zambia Zimbabwe
E-mail* :
Phone :
Fax :
Profession :
Age :
Please send me the following merchandise :
Complete FILTRATION kit 152 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros Additional cost for ceramic tap 30 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros ACTIVE CHARCOAL cartridge 40 Euros x 1 2 3 4 5 6 7 8 9 unit(s) = Euros Packaging and transportation cost 10 Euros = 10 Euros
Complete FILTRATION kit
152 Euros x
Additional cost for ceramic tap
30 Euros x
ACTIVE CHARCOAL cartridge
40 Euros x
Packaging and transportation cost
10 Euros
10
The FILTRATION KIT includes : connection to copper tube diameter 8 to 12 mm, pre-filter, active charcoal cartridge and its fixing system, tubes, tap delivering filtrated water, joints, instructions for assembly, individual packaging.
The FILTRATION KIT does not include : installation (to be done under your own guidance and responsability), installation tools, maintenance, renewal cartridges.
Wholesale orders : contact TNR
Date : Signature :
To sign, you can sign the printed paper version if you print this page on paper and send it by fax or mail, or please type into this "signature" zone your name or any alpha-numerical code legally representing your signature, for example : /John Smith/ or /jsmith8492xfp8902/ if this page is transmitted electronically.
FIRST STEP : print and send this completed page
This page should be sent to TNR TECHNOLOGY by fax to +33 1 30 86 00 10 or by e-mail in the form of a PDF file (if you pay by credit card or electronic wire electronic transfer), or by postal mail (with the cheque, if you pay by cheque). By clicking on the "Print" button, you will print this page. You can also use the "Print" button in the menu of your navigating software.
Payment by credit card (in Euros): 1/ fill out, print (on paper or PDF), and fax the paper-printed order form to +33 9 55 29 00 22 or e-mail the PDF order form to sales[at]tnr.fr - 2/ click on the visa card logo : and follow the instructions. Most credit cards are accepted (Visa, Mastercard, American Express...). Do not send your credit card number to TNR TECHNOLOGY, please follow the on-line payment procedure as indicated by clicking on the visa card above. The amount of your payment will be debited from your credit card account, as well as a fee of about 2 Euros. The transmission of your credit card number is securized by https protocol.
Payment by electronic wire transfer (in Euros): 1/ fill out, print (on paper or PDF), and fax the paper-printed form to +33 9 55 29 00 22 or e-mail the PDF form to sales[at]tnr.fr - 2/ send an e-mail to sales[at]tnr.fr and ask for instructions concerning payment by electronic wire transfer. You will receive instructions by e-mail.
Payment by cheque (in Euros): fill out, print on paper, and send this order 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.
According to the French law, you have the right to access and make corrections on the computerized information which concerns you. This can be done by writing to: TNR TECHNOLOGY, 266 avenue Daumesnil, 75012 Paris, France - SIREN 410 219 869 - S.A.R.L. legally registered company incorporated in Paris.