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GENERAL
GENERAL ORDER FORM

If you prefer to sent your request by fax, click here to download our order form.

Order Form

Order Form / Bestellschein

Order / Request*

Purchase Order / Bestellschein Request for Quotation / Preisanfrage

Customer Number / Kundennummer

Serial Number / Registration Mandatory field A/C Serial Number / Werknummer* Mandatory field Registration / Kennzeichen*

Parts

Part Number / Teilenummer

Description / Name

IPC Ref.

Urgency / Dringlichkeit

Quantity / Anzahl

Invoice Address* / Rechnungsanschrift*

VAT No / USt-Id Nr. Mandatory field Name* Company Mandatory field Country* Mandatory field Street* Mandatory field ZIP-Code* Mandatory field City* Tel / Fax Mandatory field E-mail*

Add Delivery Address if different / Lieferanschrift falls abweichend

Mandatory field Name* Company Mandatory field Country* Mandatory field Street* Mandatory field ZIP-Code* Mandatory field City* Tel / Fax Mandatory field E-mail*

Payment and Shipping

AOG surcharge:
10% of order volume, at least Euro 125,- /
AOG Zuschlag:
10% des Bestellwertes, mind. Euro 125,-

Advance payment required /
Lieferung nur gegen Vorauskasse

Minimum order volume Euro 50,- /
Mindestbestellmenge Euro 50,-

Shipping Mode / Versandart

Preferred type of payment / Bevorzugte Zahlungsart

Bank Transfer / Banküberweisung Credit Card / Kreditkarte Scheck

Security Question Please calculate 9 plus 7.