Pioneering Vegetable Oil Technology - Elsbett

ELSBETT Technologie GmbH Page 4
3. Payment procedure
a) Payment by credit card
1.�
2. Fill this box with the delivery address (for the conversion
kit and the original invoice). The address
should contain: name, street, (ZIP-code), city and country.
Please do also provide us with a phone number.
ELSBETT Technologie GmbH
Phone ++49 9173 - 779 40 Fax ++49 9173 - 779 42
www.elsbett.com pkw@elsbett.com
Elsbett - Weissenburger Str. 15 - 91177 Thalmaessing - Germany
2.
e-mail:
phone:
Date:
Quantity Article Description Unit Price Total Price
1 1 Tank-Conversion kit for Diesel engine
Only convertable with BOSCH injection pump!
Attention:
The kit is made to run Diesel engines on pure
vegetable oil, which is conform to the 05/2000
quality standard of W eihenstephan.
The kit is not made for diesel engines with rotary- or
inline-injection pumps made by LUCAS/CAV,
RotoDiesel, Stanadyne or Delphi.
Please transfer the total amount to our account.
After receiving the remittance on our account, we will
promptly send out the kit to you.
Payment by bank transfer:
Swift Code: GENO DE F1GDG
IBAN No.: DE 237 606 946 200 032 344 44
2
Payment by credit card:
VISA
Card type:
Name as on card:
Card number:
Verification code (CVC2)*:
Expiry date (month/date):
MasterCard
Date: Sign:
Please complete and fax this sheet to ++49 9173 779 42
* the 3 digit verification number on the back of your VISA
or MasterCard (not needed for Amex cards).
Amount
Terms of Payment
Freight
Remittance in advance
Raiffeisen Bank Greding-Thalmaessing
Postal code: D - 91171 Greding
Account No. 323 444 4
1. Print out the pro forma-invoice on the next page and fill all the needed information
like described in the following steps.
THANK YOU FOR YOUR ORDER !
No.
Total Amount
PROFORMA
INVO ICE
ELSBETT Technologie GmbH - Managing Director: Klaus Elsbett VAT
Id.Nr. DE 133 516 565 Tax No. 222/197/00788 registered at AG Nuremberg, HRB 1568 -
6.�
5.
b) Payment by wiring the money
3.
4.
3. Copy the invoice number and the date
of today from the received email into this
box. So it will be easier for you and for us
to identify your case in the future.
4. Copy the total amount from our email into
this box. The price is calculated in EURO
and includes VAT (for Europe), packaging
and shipping costs (as will be specified in
the original invoice that comes with the kit).
5. If you prefer to pay by credit card, fill
these boxes with your information: card
type, name, number, verification code, expiry
date. Please sign the form and fill the
date before you send it to us.
6. Fax the completed form to our company. The fax number is:
+49 9173 779 42
1. Please wire the total amount on-line or by contacting your bank to our account:
ELSBETT bank account: 323 444 4
Swift Code: GENO DE F1GDG
IBAN No.: DE 237 606 946 200 032 344 44
After receiving the amount on our account, we will send out the kit and the original invoice.
_______________________________________________________________________________________________
Managing Director: Klaus Elsbett • AG Nürnberg, HRB 1568 • Ust.Id.Nr. DE 133 516 565
Raiffeisenbank Greding-Thalmässing • BLZ 760 694 62 • Konto 323 44 44
IBAN DE 23 760 694 620 003 234 444 · BIC GENO DE F1 GDG