Contract number: [ complete ]   2019  FRAMEWORK CONTRACT  ORDER FORM  European Centre for  Disease Prevention and  Control  Unit: Order number: (Name and address of contractor)  Currency of payment: EUR  Tel.: Tender (date and reference):  E-mail: This order is governed by Framework Contract No __________   in force from __________ to ___________  LISTING OF THE SUPPLIES / SERVICES  UNIT  QUANTITY  PRICE in €  and code  UNIT PRICE  TOTAL  In accordance with Articles 3 and 4 of the Protocol on the Privileges and  Immunities of the European Union, The Centre is exempt from all taxes and  dues, including value added tax, on payments due under this contract. For  intra-community purchases, the statement ’VAT Exemption / European  Union / Article 151 of Council Directive 2006/112/EC’ should be added on  the invoice 12 . Packaging  Insurance  Transport  Assembly  VAT  TOTAL  :  Place of delivery or performance and/or Incoterm:  Contractor’s signature Final date of delivery or performance:  Payment provisions:  Name:  Position:  Guarantee:  Date:  Date of issue: Signature name and position:  The invoice will be paid only if the contractor has returned the signed order form.  12  This does not apply to Swedish contractors. Thus if sending to a Swedish contractor, please delete. 49 