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BMW Reglement 2004_E - BMW Motorrad Deutschland

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WWP Weirather-Wenzel & Partner S.L.<br />

Attn Gemma Roura Serra<br />

Passeig de Gràcia 16, 8°<br />

E-08007 Barcelona<br />

Fon: +34-93-306 34 50<br />

Fax: +34-93-306 34 45<br />

E-mail: groura@wwp-group.com<br />

Order form for leather boots and gloves<br />

In order to participate in the <strong>BMW</strong> <strong>Motorrad</strong> BoxerCup <strong>2004</strong><br />

we would like to order:<br />

Leather boots: Gloves:<br />

Size/Quantity: ..................... Size/Quantity: .....................<br />

Size/Quantity: ..................... Size/Quantity: .....................<br />

Size/Quantity: ..................... Size/Quantity: .....................<br />

Size/Quantity: ..................... Size/Quantity: .....................<br />

Size/Quantity: ..................... Size/Quantity: .....................<br />

Price w/o VAT € 90,— Price w/o VAT € 40,—<br />

Credit card: ......................................................................valid until....................................<br />

Card number:............................................................................................................................<br />

Team: .........................................................................................................................................<br />

Rider ..........................................................................................................................................<br />

Name of company....................................................................................................................<br />

Delivery address: ...................................................................................................................<br />

VAT No. .....................................................................................................................................<br />

Name of company....................................................................................................................<br />

Invoice address........................................................................................................................<br />

VAT No.......................................................................................................................................<br />

Please write legibly in capital letters.<br />

Signature / Date: .................................................................................<br />

Notice of authorization WWP<br />

37

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