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www.primo-elektro.be
BESTELFORMULIER VOOR ONDERDELEN PRIMO-IB1 strijkplank
BULLETIN DE COMMANDE POUR PRIMO-ib1 planche a repasser
BESTELFORMULAR FÜR PRIMO-ib1 Bügelbrett
Vul het bestelformulier volledig in en stuur het per post op.
Complétez ce bulletin de commande et renvoyez-le par poste à.
Bitte das Formular ausfüllen und mit der Post zurückschicken.
BENCO
Ind. zone Klein Gent
Bouwelven 12 A
2280 Grobbendonk
AANTAL
QUANTITE
ANZAHL
EENH.PRIJS
PRIX UNIQUE
EINZELPREIS
TOTAAL
TOTAL
GESAMT
Strijkdoek/ Housse / Bügelüberzug
18,50€
Verzendkosten/ Frais d’envoi /Versandkosten 3,75€
TOTAAL / TOTAL /GESAMTBEDRAG
Betaling dient voorafgaandelijk te gebeuren :
Overschrijven op rekeningnummer 552-2955000-40 met vermelding PRIMO-IB1
Paiement à l’avance :
Versement au n° bancaire 552-2955000-40 avec mention PRIMO-IB1
Bitte im voraus bezahlen :
Überweisung auf Kontonummer 552-2955000-40 Angabe PRIMO-IB1
NAAM :.........................................................................................................................................................
NOM :
NAME :
ADRES : .......................................................................................................................................................
ADDRESSE :
ADRESSE
TEL : ..............................................................................................................................................................
DATUM + HANDTEKENING :
DATE + SIGNATURE
DATUM + UNTERSCHRIFT
17


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