Request form for SAFFRON analysis

Fullfill the form under ACROBAT READER DC

Quantity Analysis description PRICE Subtotal

1 ISO 3632 47,00 € 47,00 €

(*) VAT 20% 9,40 €

TOTAL with VAT 56,40 €

(*) VAT can be skipped only if you fullfill one of theses two following conditions:
1-You are a EU company with a valid intra EU community VAT number (please check your number
on european commission website, click here),
2-Your company is outside European Union.

Pre-payment by bank transfer is mandatory. Take all bank charges at your expense.
Bank:BNP-PARIBAS, ANASCAN SARL IBAN: FR76 3000 4007 0600 0100 8018 702

Name : Surname :

Company :

Address :

Zip code : Town : Country :

Intracommunity VAT number :

Phone : E-mail :

Ech 1 Country Batch #: Year

Ech 2 Country Batch #: Year

Ech 3 Country Batch #: Year

Ech 4 Country Batch #: Year

1-Send 1 gramme of dried saffron in a safe sealed container. Label the container with company name,
batch number and year of harvest.
2-Fill in the order form, print and include it with proof of payment in the parcel.
3-Send your parcel to the following address.
4-Results will be returned by e-mail within 5 working days upon receipt of your parcel.

LABORATOIRE ANASCAN
17 AVENUE DU CHEMIN NEUF, 04800 GREOUX-LES-BAINS, FRANCE
contact@laboratoire-anascan.com Phone.: 00 33 9 81 87 17 47

Date Signature

AnaScan SARL, capital social de 33,400 €, SIRET 509 152 138 00012, RCS MANOSQUE (déc 2008), APE 7120B, TVA FR45509152138