Order Form: Submission #70121

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Submission Number: 70121
Submission ID: 135809
Submission UUID: d3499017-e93c-413c-bffa-95e0a3e0e6a0
Submission URI: /en/form/order-form

Créé: Tue, 08/11/2026 - 16:30
Terminé: Tue, 08/11/2026 - 16:30
Changed: Tue, 08/11/2026 - 16:30

Remote IP address: 14.143.71.246
Submitted by: Anonyme
Langue: French

Is draft: No
Webform: Order Form

1. Delivery and order details
-----------------------------
Your first and last name: {Empty}
My email: karine.cosmai@dimo.fr
Your quote reference: {Empty}
Quote number: {Empty}
Order reference: AUTOMOBILE CLUB ASSOCIATION
Order Number: 3627
Old order: {Empty}
Quantity: 500
Your reference: {Empty}
Your order is a re-order?: BF110023
Special packaging conditions: {Empty}
Product Reference ID: {Empty}
Comment:
{Empty}


2. Order Summary
----------------
IMPORT YOUR FILES:
{Empty}

I will send my files later: {Empty}
Any doubts about the compatibility of your customization file? For 5 euros more, have your files checked by our Design Studio.: {Empty}

Address: {Empty}
URL alias: {Empty}
User id: 401
Article: {Empty}
Delivery mode: 11
Estimated delivery date: 2021-03-26 00:00:00
Production time: 59
Follow my bags: {Empty}
Reorder text: REORDER
Created Date: {Empty}
Status: Invoiced
mproduct name: Médaille non tarifée
tracking url: {Empty}
total paid: 680.5
SF Retirement number: {Empty}
SF Order ID: AUTOMOBILE CLUB ASSOCIATION
Order PDF Track: PDF
Order PDF: {Empty}
order uuid: {Empty}
Date_imp_rative_de_livraison: {Empty}
Order Type: {Empty}
Payment Terms: {Empty}
Delivery Address:
{Empty}

Manual Retirement Number: {Empty}
Supplier Name: SFDC
Margin Amount: {Empty}
Margin Percentage: {Empty}
Pricebook Name: {Empty}
Transporter Info: {Empty}
Prestashop Order ID: 3627
num_ro_de_la_commande: 8013X00000CoQMgQAN
file_upload_page_link: {Empty}
price_book: {Empty}
prix_price_book: {Empty}
standard_price_book: {Empty}
Bat PDF Url: {Empty}
Invoice PDF Download: {Empty}