Catalogue kart BPS 2016

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!- (+) -')&+)%-,,*'&+ NOM : ......................................................................................................................................................... PRENOM : ......................................................................................................................................................................

ADRESSE :.............................................................................................................................................................................................................................................................................................................................................. CP : ......................................................VILLE / PAYS ....................................................................................................................................................................TĂŠl. .................................................................................................

E­MAIL : ...................................................................................................................................................... @...................................................................................................................................................................................... DÊsigna&on des Ar&cles

RĂŠfĂŠrence

OUI, JE DESIRE RECEVOIR LE CATALOGUE COMPETITION BPS RACING 2016

MODE DE PAIEMENT : ChĂŠque bancaire Carte bancaire

Taille

Quan&tĂŠ

Expire fin :

N°CBN :

L’acheteur dÊclare se conformer aux conditions gÊnÊrales de vente de la SociÊtÊ BPS RACING (sur simple demande ou consultable sur www.bps-racing.com)

Date :

/

/

Votre signature :

Prix Unitaire

Prix Total

5,90 â‚Ź

OFFERT

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PORT* NOUS CONSULTER :

Contre Remboursement Paypal

N° CARTE

BON DE COMMANDE À RENVOYER À : BPS RACING. ZAC Garosud. 385, rue E'ore Buga(. 34070 MONTPELLIER. FRANCE.

Couleur

TOTAL :

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