Ph. +39.0373.235141 fuelorder@panta.it

FUEL ORDER FORM

IAME EURO SERIES & CHAMPIONS OF THE FUTURE 2021

EVENT:_______________________________

INVOICING DETAILS

VAT N°

FISCAL CODE

COMPANY

ADDRESS

City/ZIP code COUNTRY

PHONE MOBILE

E-MAIL SDI CODE (only for Italian Companies)

PRICE PER 25 LT DRUM: 65 € +VAT * (2,60 €/lt + VAT)

DRUMS ORDERED:________________ TOTAL AMOUNT: €__________

* In Italy 22% VAT is applicable to all Competitors. *In France 20% VAT is applicable to all Competitors with the exception of French Teams.

*In Spain 21% VAT is applicable to all Competitors. *For all the other European destinations, 22% VAT is applicable only to Private Citizens, Italian

Companies and non-European Union Companies.

BY BANK TRANSFER BY CREDIT CARD BANCA POPOLARE DI SONDRIO

To: Panta Distribuzione Spa s.s. 235 km. 47+980,

26010 BAGNOLO CREMASCO (CR)

IBAN: IT58U0569620300000002103X34

BIC=SWIFT CODE: POSOIT22

VISA MASTERCARD

Number

Expiring date

Card holder

Signature

DEADLINE: 2 WEEKS BEFORE THE EVENT

AFTER DEADLINES THE ORDERS ARE NOT GUARANTEED

PLEASE RETURN THIS FORM TO: fuelorder@panta.it