To order one of this reports, please fill in this form. * Mandatory.

Products available:

 : 6.500 € single license user*

 : 7.800 € single license user*

: 8.900 € single license user*

For a corporate license please contact us. For a corporate license please contact us : c.pillot@avicenne.com.
* A corporate (or multi-user) license is needed for any organization requiring more than one user in at least two different geographic locations.
Please add VAT for French companies.


Way of delivery: PowerPoint in PDF via E-mail


Customer informations:

Title:  
* Family name :
* First name:
* Company:
* Email:
* Address:
* Zip code:
* City:
* Country:  
* Tel.:
Fax:
Total in €:
Your purchase order number:
VAT n° for European companies:

 
Your credit card:

In case of any trouble please call us : + 33 1 44 55 19 90.

Type of card:  
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Expiration date:
Name of the cardholder:
Security number:  (last 3 digits on the back of your card)


Accounting dept. address (if different than company address):

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Validate your order:

Date of order: 29/03/2024
Signature:  (scan your signature and upload the file)  
  or Print & send by fax Print

After verification, send your order form by mail or fax.

After validation, you will receive by email a summary of this order.