Order form:
Please print, fill out and mail with a cheque
Name:
Address:
Address:
Address:
Telefon:  
Postal code:
Town:
Country:
Model:

Quantity::

Price per unit:

Total:
Heatwafer model 1 90,00 euro*
Heatwafer model 2 96,00 euro*
Heatwafer model 4 105,60 euro*
Heatwafer model 5 118,80 euro*
Heatwafer model 6 129,60 euro*
Heatwafer model 7 138,00 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