Pacific-image

Po Box 1441 Papeete - 98713 Tahiti - French Polynesia

Ph. (689) 50 34 34 - (689) 50 34 33 - Fax : (689) 48 33 29
www.pacific-image.com - e-mail : infos@pacific-image.pf
ORDER FORM to PRINT, fill out and FAX to (689) 48 33 29
I would like to receive at the address indicated below the following product(s) :
PRODUCTS
REFERENCE
UNIT PRICE
XPF            EURO         *$US
Qt.
TOTAL
cd-rom SP13"75 Maps of Polynesia"
SP13
59 000 494,42 584 (1)    
SP13 Update "Maps of Polynesia"(after purchase SP03)
SP13
update
24 000 201,12 237,60 (1)    
cd-rom CD04 "Polynesian Landscapes1"
CD04
29 000 243,02 292,93 (1)    
cd-rom CD05 ""Polynesian Landscapes 2"
CD05
29 000
243,02 292,93 (1)    
cd-rom CD06 "Miscellaneous Tahiti"
CD06
29 000
243,02 292,93 (1)    
cd-rom CD07 "Polynesian Atolls"
CD07
29 000
243,02 292,93 (1)    
cd-rom CD08 "Flowers of Tahiti"
CD08
29 000
243,02 292,93 (1)    
cd-rom CD09 "Tropical Fruit & Vegetables"
CD09
29 000
243,02 292,93 (1)    
cd-rom CD10 "Tropical Vegetation of Tahiti"
CD10
29 000
243,02 292,93 (1)    
cd-rom CD11 "Mountains & Waterfalls of Tahiti"
CD11
29 000
243,02 292,93 (1)    
cd-rom CD12 "Dance & Music at Tahiti"
CD12
29 000
243,02 292,93 (1)    
cd-rom TP01 "Tahitian Black Pearls 1"
TP01
35 000
293,30 353,54 (1)    
cd-rom TP02"Tahitian Black Pearls 2"
TP02
29 000
243,02 292,93 (1)    
cd-rom "Tahiti, Magic Islands"
CDTAH
3 200
26,81 32,32 (1)    
TOTAL XPF or EURO or $ (2)
 
Shipping fee (1) : Air mail (3)
Fedex (4)

TOTAL AMOUNT TO BE PAID (2)
 
R?
Company :
Name :
Adress :
Country : Ph.:
e-mail : Fax :
Please charge my credit card : Visa, MasterCard, American Express
Card number : Expire (mm/aaaa) :
Card owner : Verification code :
(3 digits back of the card)
Date :
Signature :
 
(1) Prices in US$ are given for information only : the amount that will be debited will depend on the day’s inter-bank exchange rate.
(2) All transactions are conducted using French Pacific Francs (XPF):
The French Pacific Franc has a fixed parity with the Euro : 1 euro = 119,331 XPF.

(3) Air-mail fees : : 950 XPF or 7,96 € or 9,60 $ (1) per cd-rom
  1 800 XPF or 15,08 € or 18,18 $ (1) for 1 to 5 posters
  2 800 XPF or 23,46 € or 28,28 $ (1) for 6 to 10 posters
      An estimate is required for orders of 10 posters or more.
4) Shipment by Fedex (or Airborne Express) available for cd-roms only : 4500 XPF - 37,71 euros - 45,45 US$ (1) for up to 3 cd-roms.
 
GENERAL SALES CONDITIONS :
This order form may also be sent by mail with a payment check enclosed.
Only checks issued in EUROS or PACIFIC FRANCS will be accepted.
Orders are processed upon receipt of payment; upon order when payment is made by credit card or by check when it is received.
Prices indicated are guaranteed for the period of validity of our sales documents on internet.
Merchandise remains our property until its final payment.
Court having jurisdiction : Court of Papeete, French Polynesia.
 
You will receive a receipt invoice via fax or mail as soon as the order amount is cashed.