The payment is made through the secure online payment system of

Promenade des Sens®’ form – EUCNC 2015 Event
Name and first name
Your postal address (for the invoice)
Your email
The name of the tour
Date and departure time
Price to be charged
Name of card owner
Type of card (AMEX not accepted)
Number of credit card
Expiry date
Card security code
Date of the booking
The payment is made through the secure online payment system of the French bank of
Promenade des Sens®, le Credit Agricole.
Please, send us this form by fax: 0033 (0) 9 81 70 70 62 or by email:
[email protected]
Promenade des Sens® - 91 rue du Faubourg Saint-Honoré – 75 008 Paris – Tél : +33 (0) 1 39 18 62 79 – www.promenadedessens.fr RCS Paris 50154053800011 - No TVA Intracommunautaire FR1550154053800011 – code NAF 7990Z