Place ........................................<br>
Date .........................................<br>
<br>
<br>
<center>
<b>ORDER FOR WRITTEN TRANSLATION </b><br>
<b>NO...........................&nbsp;*</b>
</center>
<br>
<br>
<table>
	<tr>
		<td style="border-right: 1px solid black;border-bottom: 1px solid black;">&nbsp;
		</td>
		<td  style="width: 180px; border-bottom: 1px solid black;">
			CUSTOMER
		</td>
		<td  style="border-bottom: 1px solid black;">
			CONTRACTOR
		</td>
	</tr>
	<tr>
		<td style="border-right: 1px solid black;">
Company name<br>
<br>
Post code and city<br>
Street<br>
Tax identification number NIP<br>
Telephone number 1<br>
Telephone number 2<br>
Fax number<br>
E-mail address 1<br>
E-mail address 2<br>
Contact person<br>
		</td>
		<td>
		</td>
		<td>
	 		Excellence<br>
			Katarzyna Wieleńska<br>
			01-315&nbsp;Warsaw<br>
			Lazurowa 20 A / 19<br>
			522-228-97-94<br>
			+48 22 665 06 43<br>
			+48 22 604 866 728<br>
			+48 22 665 06 43<br>
			excellence@excellence.biz.pl<br>
			wielenska@excellence.biz.pl<br>
			Katarzyna Wieleńska
		</td>
	</tr>
</table>
<br>
Account number of Excellence: mBank 96 1140 2004 0000 3102 3616 0994
<br><br>
<b>I hereby order from Excellence the performance of written translation:</b>
<br><br>
DOCUMENT'S NAME ...........................................................................................<br>
FROM .................................................... INTO ......................................................<br>
MODE ......................................................................................................................<br>
BY ............................... (DATE) ....................................... (HOUR)<br>

<Br>METHOD OF DELIVERY OF MATERIALS FOR TRANSLATION
<ul>
<li>BY E-MAIL 
<li>BY FAX
<li>BY MAIL
</ul>
METHOD OF COLLECTION OF TRANSLATED DOCUMENTS           
<ul>
<li>TO E-MAIL ADDRESS ..................................................................................
<li>TO FAX NUMBER .........................................................................................
<li>TO ADDRESS ................................................................................................
</ul>

Additional comments of the Customer ..........................................................................<br>
.......................................................................................................................................<br>
.......................................................................................................................................<br>
.......................................................................................................................................<br>

<br>
<br>
General provisions of placing orders for written translation:<br>
<ol>
<li>A standard page of translation covers 1800 characters (including spaces) counted in the translated document.
<li>The time scheduled for the execution of a standard translation starts on the day following the day of acceptance of documents for translation.
<li>Excellence Translations declares that it possesses both essential knowledge and organizational potential necessary for the execution of the order.
<li>Any complaints concerning translations shall be dealt with by Excellence Translations within 14 days after the delivery of the translation to the Customer.
<li>Invoices shall be issued by Excellence Translations following the execution of an order.
<li>If the Customer stops the execution of the translation before its completion, he is obliged to pay to the benefit of Excellence Translations the fee for actually executed work.
<li>Payments for the services shall be made in the form of a bank transfer to the account of Excellence Translations indicated on the invoice within 14 days from the date of its receipt by the Customer. 
<li>Any overdue payments will be charged with the statutory interest for default.
<li>In matters not regulated by these Regulations, the applicable provisions of the Civil Code should apply.
<li>The sides declare that possible disputes shall be settled by competent courts.
<li>The Price List constitutes an integral part of the contract. 
</ol>
<br>
<br>
<b>The Customer declares that he has acquainted himself with the provisions of the execution of the present order. </b>
<br>
<br>
<br>
<br>
<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;........................................................................<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Customer's stamp and signature 
<br>
<br>
<br>
<small>* To be filled by Excellence Translations</small>