Order
form:
Please print, fill out and mail with a cheque
|
| Name: |
|
| Address: |
|
| Address: |
|
| Address: |
|
|
Telefon: |
|
| Postal
code: |
|
| Town: |
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| Country: |
|
|
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| Model: |
Quantity:: |
Price per
unit: |
Total: |
| Heatwafer model 1 |
|
90,75
euro* |
|
| Heatwafer model 2 |
|
96,80
euro* |
|
| Heatwafer model 4 |
|
106,48
euro* |
|
| Heatwafer model 5 |
|
119,79
euro* |
|
| Heatwafer model 6 |
|
130,68
euro* |
|
| Heatwafer model 7 |
|
139,15
euro* |
|
|
|
Total: |
|
|
Package and postage: |
12.00* |
|
|
Total with P&P: |
|
Please mail to:
HODSDON & BANCROFT Lda.
Estrada Nacional 125
Carmo
8400 - 405 LAGOA
Portugal
*Meherwertsteuer
(iva) 20% inklusive |