™ McEyewear ® Teleorder-Schedule für Consumers
PLEASE PRINT THIS FORM, FILL IT OUT COMPLETELY AND FAX IT TO + 43 1 405 74 71 OR MAIL IT TO
McEyewear Brillenmode, Lecon Produkte Vertriebs GmbH, Feldgasse 1, A-1080 Wien, Austria.
McEyewear®
CUSTOMER-No.
E_____________________ Your e-mail and phone no. are necessary to confirm your order. They will not be shared or sold to anyone.
NAME ___________________________________________________________ PHONE _______________
COMPANY (if)/ regd. FIRM-No. __________________________________________________ FAX _______________
STREET ADDRESS No. ___________________________________________________________ E-MAIL _______________
CITY / COUNTRY / ZIP ___________________________________________________________________
QUANTITY
(eg.) 1
COLLECTION
(eg.)TREASURY
CollectionCode: Style No. - ColourCode -
ApplicationCode (if): (example) TRO 1-001-21
SINGLE PRICE
in ATS
PRICE in ATS
        ______________
         
         
         
         
         
         
QUANTITY of POSTERS: __units POSTER No.: __   ____________
SHIPPING COSTS
for spectacles, sunglasses:
SHIPPING COSTS for posters
(if ordered separately):
AUSTRIA ATS 70.- ATS 10.- ATS 15.-
EUROPE ATS 100.- ATS 25.- ATS 45.-
WORLD ATS 120.- ATS 35.- ATS 65.-
>>>>>>> >>>>>>>>> >>>>>>>>>>>>>
SUBTOTAL  
SHIPPING (see note at left)  
EC Countries: +20 % VAT  
TOTAL ______________
PAYMENT by:
O 1) CREDIT CARD
O 2) ORDER CHECK
O 3) NOT NEGOTIABLE CHECK *)
O
4) BANK TRANSFER to Bank Account:
BAWAG, Kto.Nr.: 01310-711-108, BLZ: 14000
CREDIT CARD O VISA O AMEX O DINER´S CLUB O MASTERCARD
CARD OWNER ___________________________________
CARD NUMBER ___________________________________
EXPIRATION DATE ___________________________________
   
SIGNATURE ___________________________________
With your order you accept our Terms of Trade and Delivery for Teleorder of Consumers.
If paying by order check or not negotiable check, please enclose with this form.
*) Payment by not negotiable cheque is the most safety payment option in WWW, because it is only passed to another person´s credit officially via a bank an it is always controllable to whoose credit the amount is passed.

THANK YOU VERY MUCH FOR YOUR ORDER !