Order form

Jean-Marie Doublet
La Brousse, Bonneville
16170 Rouillac France
 

Phone: (00 33)(0)5 45 21 61 88
Fax: (00 33)(0)5 45 21 65 00


Order form
   
Name and address  
   
   
              
Phone   
E-mail   


Order

 

Variety Category Weight Price per kg TTC Total TTC
     
     
     
     
     
     
        
  Total Order
Shipping costs*
Total due


Hereinclosed corresponding cheque of ...................€ payable to Mr Jean-Marie Doublet.
Invoice will be sent with shippment.
 
* We send parcels by Chronopost, up to 1kg, 23 €; between 1kg and 2kg, 26.95€. Please contact us for any shipping to Corsica, DOM, our outside France.  
 

 

At.............................., Date : .............                                

Signature: