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www.primo-elektro.be
ALLEEN VOOR BELGIE - SEULEMENT POUR LA BELGIQUE -
NUR FÜR BELGIEN
BESTELFORMULIER VOOR ONDERDELEN PRIMO-CO1 OVEN
BULLETIN DE COMMANDE POUR PIèCES DETACHEES PRIMO-CO1 FOUR
BESTELFORMULAR FÜR PRIMO-CO1 OFEN
Vul het bestelformulier volledig in en stuur het per post op. Ondergetekende bestelt :
Complétez ce bulletin de commande et renvoyez-le par poste :
Bitte das Formular ausfüllen und mit der Post zurückschicken. Unterzeichnete bestellt :
PRIMO
BOUWELVEN 12A
2280 GROBBENDONK
AANTAL EENH.PRIJS TOTAAL
QUANTITE PRIX UNIQUE TOTAL
ANZAHL EINZELPREIS GESAMT
CO1-BOWL : glazen kom / ...................................................... 15 € ..........................................
récipient en verre / Glasschale
Verzendkosten/frais d’envoi/ Versandkosten ........................................................................ 3,75 €
TOTAAL ............................................................................................................................................
De betaling dient voorafgaandelijk te gebeuren per overschrijving op rekening 552-2955000-40 (met ver-
melding PRIMO-CO1)
Paiement à l’avance par versement au n° bancaire 552-2955000-40 (avec mention PRIMO-CO1)
Bitte im voraus bezahlen mit Überweisung auf kontonummer 552-2955000-40 (Angabe PRIMO-CO1)
NAAM :.........................................................................................................................................................
NOM
NAME
ADRES : .......................................................................................................................................................
ADRESSE
TEL : ............................................................................................................................................................
DATUM + HANDTEKENING :
DATE + SIGNATURE
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