Download Owners Manual

Order Form
Distributor address:
Company:
* Obligatory
Name:
Client number (if known)
Address:
Tel:
From* (Company stamp)
Fax:
Email:
(In capital letters please)
Name of client*:
___________________________
Department: __________________________________
Telephone/Extension*: __________________________
Date/Signature*:
___________________________
Conditions of payment*:
 UPS COD
 Advance payment
Credit card no: _______________ Exp. Date:_________
Visa________ Master __________ AMEX_________
Order Number
Description of part
Amount
Price
Delivery charge
Total
Total Price