Send us at least before april 30th 2010 the subscription formular below to subscribe
if we gather enough demand, production will be launched,
account will immediatly be refunded if there are not enough subscribers (may 2010).
The manufacturer, which is an internationally renowned French company wants to have a maximum period of four months to achieve its production. This means that your order should be delivered end of July 2010. We will follow the production phase with the greatest vigilance.
You will be asked to pay the balance of your order within thirty days prior to shipment.
Demand of subscription I undersigned :
Name
:
First name
:
Nr + Street
:
Zipcode :
Place
:
Country
:
E-mail
:
Telephone
:
Want to profit from the new production of double master-cylinders for Citroen H-van.
Ordered quantity :
To confirm my order I transfer today following amount to the account of UCH-FTH :
per European bank code of the UCH-FTH bank account (IBAN code)
FR48 2004 1010 0517 9102 3J02 653 (BIC code) PSSTFRPPLIL
I promess to pay the remaining part of my order before delivery (july 2010).
Date and signature :
PART TO BE FILLED IN BY NON-MEMBERS THAT WANT TO SUBSCRIBE (free of charge)
CARACTERISTICS OF THE VEHICLE
Registration number:
MOT Contrôle technique:
Construction Year:
Type of use :
Other particularities :
(camper/pompier/ambulance…)
Thank you fill in all fields
- Send your subscription formular to :
UCH - FTH "La Française du type H"
34 rue du Lieutenant Boucly
59680 FERRIÈRE LA PETITE - FRANCE
