Please forward or fax the completed form to:

Skandinavisk Handels Kompagni
INTERNATIONAL COMMEMORATIVE AWARDS AND DECORATIONS

Gl. Strandvej 1 - Box 1433 - DK-9100 Aalborg - Denmark
Tel: +45 9810 3224 - Fax: +45 9810 3622
E-mail: skanhandel@skanhandel.dk - www.skanhandel.dk

 

ORDER-/APPLICATION FORM

The International Peace Prize Medal 1988
The UN's 50th Anniversary Medal
The International Veteran Millennium Medal 2000
The International Volunteers Foreign Service Medal


Ordered by:
Surname:
First name:
Address:
Postal or ZIP code:

 City:
Country:

 Date of birth:
Military rank:

 UN-mission(s):
Period of service from:

 Period of service to:
Tel:

 Fax:
Name of veteran association:

 E-mail

 

CONTINUATION ON NEXT PAGE...

 
 

 
Hereby orders:
Please incert: Artikel no. - Number - Productdescription - Price each - Total price.
Inclusive of VAT, postage and dispatch fees. Delivered without frame for Certificate.
Extra postage: If you want the medals to be send by registrated post +€ 9.00 - and if you live outside Europe +€ 6.50
Artikel no:           Number:             Productdescription:                                        Price each:             Total price:

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Payment:

Before forwarding the medal/set of medals and any accessories, please enclose an International Bank Draft - written in SHK´s name - together with the order-/application form, or transfer the amount to our bank:

DANSKE BANK
2-12 Holmens Kanal
DK-1092 Copenhagen K, Denmark

Telex 27000 - S.V.I.F.T.DABADKKK
IBAN code: DK8830003201784395
for the credit of our account No. 3201784395
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Or pay with:

|__| American Express  |__| Diners Club  

|__| Eurocard  |__| MasterCard  |__| VISA   |__| JCB

Card No:          |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__|

Control-
digits:              |__|__|__| 

Expires end:     |__|__|__|__|

Amount EUR.  |__|__|__| |__|__|__| . |__|__| 

When cashing to the credit card company, the amount will be changed from EUR to DKK - by the corrent rate of the day.
With use of credit card you will be charged a fee of 3% og the total amount.


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Signaturet

Documentation - conserning The International Peace Prize Medal 1988:
Performed UN service before 10 December 1988 authenticated by military unit of UN Veteran.
A copy of documentation for performed service before 10 December 1988 will also be approved.
Time for delivery is expected to be approx. 4 weeks (often faster) after SHK has received the application form and the payment either by Credit Card or a copy of the payment from Danske Bank.

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   Date:                                                Order - service - amount -way of payment confirmed by your signature