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Direction Produits & Collections Identification Office HOW TO ORDER Practical information You would like to order vehicle identification from : L’Aventure Peugeot Citroën/DS Héritage Panhard & Levassor Name : First name : Membership number: By becoming Active Member of L’Aventure Peugeot Citroën DS you will help maintain and support this exceptional heritage, and enjoy the benefits according to your membership status. Address : Post Code : City : Country : Telephone : E-Mail : Please note that, pursuant to the French Data Protection Act No. 78-17 of 6 January 1978, amended by the Act No. 2004-801 of 6 August 2004, you have a right to view, modify or remove personal data held by our association on request. Y OUR CONTACT DETAILS L’A VENTURE P EUGEOT C ITROËN DS C ENTRE D ’A RCHIVES 34 RUE DU C OMMANDANT R OLLAND 25 310 HERIMONCOURT - FRANCE F OR MORE INFORMATION : E - M AIL : contact - avpcd@mpsa . com PAYMENT Please post us the attached order form as well as the proof required for vehicle identification products and your payment : BY CHEQUE (ONLY IN FRANCE) TO AVENTURE PEUGEOT CITROËN DS CREDIT CARD (please complete the datas below) AMOUNT TO PAY CARD N° DATE KEY NAME FIRST NAME SIGNATURE BY INTERNATIONAL DIRECT DEBIT Please don’t pay before we tell you everything is OK, we cannot pay back BP BOURGOGNE FRANCHE-COMTE INTERNATIONAL BANK ACCOUNT NUMBER ACCOUNT NAME : L’AVENTURE PEUGEOT CITROËN DS MUSÉE –SERVICE COMPTABILITÉ –CARREFOUR DE L’EUROPE – 25 600 SOCHAUX BANK ADDRESS : BPBFC SOCHAUX (00045) INTERNATIONAL BANK ACCOUNT NUMBER (IBAN) BANK CODE : 10807 SORT CODE : 00045 ACCOUNT NUMBER : 00519721914 IBAN KEY : 69 IBAN : FR76 1080 7000 4500 5197 2191 469 BIC : CCBPFRPPDJN If you are a professionnal (out of France), please give us your VAT Number and please ask us for the price without VAT. Upon receipt of your order, you will receive an invoice from our association as proof of purchase. Please specify the billing address if different from mailing address above. Please send your form to the address below :

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Direction Produits & CollectionsIdentification Office

HOW TO ORDER

Practical information

You would like to order vehicle identification from :

L’Aventure Peugeot Citroën/DS Héritage Panhard & Levassor

Name : First name :

Membership number:

By becoming Active Member of L’Aventure Peugeot Citroën DS you will help maintain and support thisexceptional heritage, and enjoy the benefits according to your membership status.

Address :

Post Code : City :

Country : Telephone :

E-Mail :

Please note that, pursuant to the French Data Protection Act No. 78-17 of 6 January 1978, amended by the Act No. 2004-801 of 6 August 2004, youhave a right to view, modify or remove personal data held by our association on request.

YOUR CONTACT DETAILS

L’AVENTURE PEUGEOT CITROËN DSCENTRE D’ARCHIVES

34 RUE DU COMMANDANT ROLLAND

25 310 HERIMONCOURT - FRANCE

FOR MORE INFORMATION :

E-MAIL : [email protected]

PAYMENT

Please post us the attached order form as well as the proof required for vehicle identification products and your payment :

BY CHEQUE (ONLY IN FRANCE) TO AVENTURE PEUGEOT CITROËN DS

CREDIT CARD (please complete the datas below)

AMOUNT TO PAY CARD N° DATE KEY

NAME FIRST NAME SIGNATURE

BY INTERNATIONAL DIRECT DEBIT Please don’t pay before we tell you everything is OK, we cannot pay back

BP BOURGOGNE FRANCHE-COMTE INTERNATIONAL BANK ACCOUNT NUMBER

ACCOUNT NAME :L’AVENTURE PEUGEOT CITROËN DSMUSÉE – SERVICE COMPTABILITÉ – CARREFOUR DE L’EUROPE – 25 600 SOCHAUX

BANK ADDRESS : BPBFC SOCHAUX (00045)

INTERNATIONAL BANK ACCOUNT NUMBER (IBAN)

BANK CODE : 10807 SORT CODE : 00045 ACCOUNT NUMBER : 00519721914 IBAN KEY : 69

IBAN : FR76 1080 7000 4500 5197 2191 469 BIC : CCBPFRPPDJN

If you are a professionnal (out of France), please give us your VAT Number and please ask us for the price without VAT.

Upon receipt of your order, you will receive an invoice from our association as proof of purchase. Please specify the billing address if different from mailing address above. Please send your form to the address below :

Order Form – Since January 2019

Please select one document, we provide only one document for each car :

If you are a professionnal, please send us your VAT number and please use the price « EXCL. VAT »

NAME, FIRST NAME SIGNATURE

DONE AT

IDENTIFICATION PRESTATION

PRICE* : Price with VATMEMBER PRICE** : only for « Active Members » of the L’Aventure Peugeot Citroën DS (49€/year)QTY*** : Quantity (if you have various cars to be identified)TOTAL*** : Total amount to pay

PRICE* MEMBER

PRICE** QTY*** TOTAL****

IDENTIFICATION (PLEASE ORDER THE CERTIFICATE OR THE ATTESTATION)

ADMINISTRATIVE SERVICES

Certificate of conformity

For standard regrstration for cars built before

1990. The date of production will be written on

this document with the basic data sheets

220€ INCL. VAT

(183€33 EXCL. VAT)

190€ INCL. VAT

(158€33 EXCL. VAT)

HISTORICAL SERVICES

Birth certificate (requested by the DVLA)

Search of the serial number, confirmation of

whether the car is « matching numbers » and

its date of production. Can be used to register

the car in France as vintage car

75€ TTC

(62€50 HT)

60€ INCL. VAT

(50€00 EXCL. VAT)

OTHER PRODUCTS

Copy of the original invoice : only for

CITROËN cars built from 1972 to 1978,

Specific informations about your SIMCA-

TALBOT-CHRYSLER and PEUGEOT cars built

after 1988 (color, options, finition…)

please ask if these documents are available

before paying.

20€ INCL. VAT

(16€67 EXCL. VAT)

15€ INCL. VAT

(12€50 EXCL. VAT)

Pre-purchase verification

(Body type, finish of the car, matching

numbers) by e-mail or by phone.

20€ INCL. VAT

(16€67 EXCL. VAT)

15€ INCL. VAT

(12€50 EXCL. VAT)

TOTAL

Please send us the following documents, by e-mail or by post :

copy of the Registration papers, or any document of proof of ownership (invoice, transfer document) pictures of the car and its plates (VIN, bodyshell, body and engine numbers) copy of your Member card or PSA card if you want to receive the discount prices

By becoming Member of L’Aventure Peugeot Citroën DS you will help maintain and support this exceptionalheritage, and receive benefits according to your membership status. For instance, you can order a freeentrance visit to the L’Aventure Peugeot Museum, the Conservatoire Citroën DS and the CAAPY Museum.

If the chassis/wheelbase of your car was replaced, please give us the invoice and reference of thisimportant spare part.

If you can provide the complete set of numbers for each car as set out above, it will facilitate our search ofthe production records and we will be able to furnish you with more historical data concerning your car.Please note that if your car is not enough original, or if you don’t provide proof of ownership, we won’tprovide any official document.

Our many thanks in advance, and please let us know if you need any further information.

The Identification Office Team.

VEHICLE IDENTIFICATION REQUEST(S)

VE

HIC

LE

1

TYPE MINES (504B14, 11 BL…)

VIN (SERIAL NUMBER)

BODYSHELL NUMBER

ENGINE NUMBER

BODY NUMBER

VE

HIC

LE

2

TYPE MINES (504B14, 11 BL…)

VIN (SERIAL NUMBER)

BODYSHELL NUMBER

ENGINE NUMBER

BODY NUMBER

VE

HIC

LE

3

TYPE MINES (504B14, 11 BL…)

VIN (SERIAL NUMBER)

BODYSHELL NUMBER

ENGINE NUMBER

BODY NUMBER