Bon de Commande/ Order Form
Please complete this form, print and fax it to +33 (0)5 46 26 65 29 or email to: denechere@swfrance.com
| Désignation / Product | Prix Unitaire TTC/ Unit Price in FRF, ex-chais | Quantité / Quantity | Montant / Total |
| Pineau Blanc 0.75 l | 47.00 | ||
| Pineau Rosé 0.75 l | 49.00 | ||
| Vieux Pineau 0.75 l | 65.00 | ||
| Très Vieux Pineau 0.75 l | 90.00 | ||
| Cognac VS 0.70 l | 90.00 | ||
| Cognac VS 0.35 l | 55.00 | ||
| Cognac VSOP 0.70 l | 110.00 | ||
| Cognac VSOP carafe 0.70 l | 180.00 | ||
| Cognac VSOP carafe sans coffret/without box 0.70 l | 160.00 | ||
| Cognac XO 0.70 l | 300.00 | ||
| Cognac Sublime 0.50 l | 150.00 | ||
| Cognac Vieille Réserve 0.70 l | 450.00 | ||
| Cognac Vieille Réserve 0.35 l | 350.00 | ||
| Liqueur Poire 0.70 l | 115.00 | ||
| Liqueur Amande 0.70 l | 98.00 | ||
| Liqueur Café 0.70 l | 105.00 | ||
| Liqueur Cassis 0.70 l | 90.00 | ||
| Liqueur Orange 0.70 l | 65.00 | ||
| Fruits au Cognac (griottes, framboise) 0.50 l | 100.00 | ||
| Fruits au Cognac (poire, clementine, cocktail de fruit) 0.50 l | 115.00 |
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Total |
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Forfait Transport/ Shipment |
to be added | ||
| Net a Payer / Net |
| Nom/Name:_______________________ | Prénom/First name:____________ | |
| Addresse/Address:_________________ | ____________________________ | ______________________ |
| Code Postal/Zip Code: __________ | Ville/City:_____________________ | Country: ______________ |
| Tél./Phone:________________________ | Fax:_________________________ | Email:_________________ |
| Visa __ MasterCard __Carte Bleue__ | No. _____-______-______-______ | Expiry (MM/YY) ____/____ |
Merci / Thank you
Le Clos de la Groie S.A.R.L. 56 Grand rue, 17160 Brie-sous-Matha, France
Phone: +33 (0)5 46 26 62 88 Fax: +33 (0)5 46 26 65 29 email: denechere@cognacnet.com