INVOICE FORM

BILLING INFORMATION

Please complete the following information :

Name and surname of financer

Company name

Email from financer

Funder's telephone number

Billing address

Ville

Postal code

Pays

FINANCING METHOD CHOSEN

Please tick the appropriate box.

Financing method 1: €19,900 on registration

Financing method 2: €29,700, i.e. €9,900 per year for 3 years

CHOSEN BILLING ORGANISATION

Please tick the appropriate box.

EU and rest of world invoicing by Lab LCA: €19,900 or €29,700

Billing to companies outside the EU by Lab SM&B: €19,900 or €29,700

CHOSEN METHOD OF PAYMENT

Please tick the appropriate box.

Direct debit (once a year)

Bank transfer

Payment by credit card using the STRIPE secure online payment solution for professionals *Additional fees may apply and are payable by the candidate

Payment via Western Union

Payment by cheque on site at the ESCE DBA administrative offices or on the ESCE Campus *Please present yourself at one of our administrative offices in Paris or at the Campus with your passport.with your passport.

Cash payment up to a maximum of €1,000, with the remainder to be paid by credit card *Please come to our administrative offices in Paris, with your passport.