ACT VMAX Order Form

Quotation form / Order form

Quotation form Order form

Please indicate desired parts.

                                       SFr
  Pair of scoops                 500.00     
  Pair of side masks             300.00     
  Tank hood                      590.00     
  Back hull                      990.00     
  Back hull Aerox               1080.00     
  Back hull Aerox with signals  1280.00     
  Motor Shoe                     590.00     
  Radiator mask                  300.00     
Port cost:                          
TOTAL AMOUNT

For the countries where port costs are not indicated in the page of the prices, please send to us, by E-mail or FAX, this page by specifying "Quotation form". The same if you want to buy several parts. We will answer you by return.

Your address.

First name:     
Last name:      

Address:        
                
City:           
State:          
ZIP Code:       
Country:        

E-mail Address: 

Fax Number:

We need your E-mail or your Fax to answer your request for quotation, to confirm your order and confirm you our sending of your parts. We will not communicate to anybody your E-mail.

Payment Details

Check Credit Transfer American Express Credit Card

Please debit my credit card for:

Credit Card Number: Expiration date:

Cardholders address if different to the delivery address

                                      SIGNATURE ________________

If you pay by check: fill in, print out and send this form by mail with your payment.
If you pay by credit transfer: fill in, print out and send this form by mail or fax or E-Mail.
If you pay by credit card: fill in, print out, sign, and send this form by mail or fax. In this case, for security reason do not use E-Mail

Address for Mail
ACT Composites
42, route de Satigny
1217 MEYRIN / Switzerland

FAX Number: + 41 22 341 41 80
E-Mail adress: act@geneva-link.ch

Questions and remarks.