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WWW.PRIMO-ELEKTRO.BE
Vul het bestelformulier volledig in en stuur het per post op naar :
Complétez ce bulletin de commande et renvoyez-le par poste à :
Bitte das Formular ausfüllen und mit der Post zurückschicken :
BENCO INTERNATIONAL
DOMPEL 9
2200 HERENTALS
REF AANTAL /
NOBMRE /
ANZHAL
EENH. PRIJS
PRIX D’UNITÉ
EINZ. PREIS
TOTAAL
TOTAL
GESAMTPREIS
Grove lter / Filtre gorssier / Grob-
lter
VW1-65 € 10.00
Hoofd -en jnelter / Filtre principal
et ltre n / Haupt -und Feinlter
VW1-67 € 5.00
Sproeiarm / Bras d’aspersion /
Sprüharme
VW1-72 € 8.00
Zouttrechter / l’entonnoir de sel /
SalzTrichter
VW1-87 € 5.00
Maatlepel / cuillère à mesurer /
Dosierlöffel
VW1-88 € 5.00
Waterslang / Tuyau d’eau / Wasser-
schlauch
VW1-89 € 18.00
afvoerslang / Tuyau de vidange /
Abussschlauchs
VW1-90 € 10.00
Darmbevestiging / Porte-tuyau /
Schlauchbefestigung
VW1-91 € 5.00
Verzendkosten / Frais d’envoi /
Versandkosten
€ 3,75 € 3.75
TOTAAL / TOTAL/ GESAMTPREIS
Betaling dient voorafgaandelijk te gebeuren :
Overschrijven op rekeningnummer 552-2955000-40 met vermelding PRIMO + REF.
Paiement à l’avance :
Versement au n° bancaire 552-2955000-40 avec mention PRIMO + REF
Bitte im voraus bezahlen :
Überweisung auf Kontonummer 552-2955000-40 Angabe PRIMO + REF
Naam/ Nom / Name :..........................................................................................................................................
Adres / Adresse / Adresse/..................................................................................................................................
.............................................................................................................................................................................
Datum + handtekening :
Date + siganture
Datum + Unterschrift
BESTELFORMULIER VOOR VAATWASSER PRIMO-VW1
BULLETIN DE COMMANDE POUR LAVE VAISELLE PRIMO VW1
BESTELFORMULAR FÜR GESCHIRRSPÜLMASCHINE PRIMO VW1
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