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Product List - Scafom

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FAX<br />

Please copy this form, fill in the copy and send it by fax to the following no.:<br />

+31 495-43 06 76<br />

Company:<br />

Place / date<br />

Purchaser<br />

Purchase order no.<br />

Customer code<br />

Person in charge<br />

ORDER<br />

ENQUIRY<br />

Please send order confirmation by post / by fax Please send offer by post / by fax<br />

Description<br />

Part no.<br />

Quantity<br />

Price per unit<br />

Total<br />

Total order volume<br />

Date of delivery<br />

Shipping method<br />

Delivery address:<br />

This order is placed under acceptance of the known conditions<br />

of sale and delivery. Goods supplied for this order remain your<br />

property until such time as all accounts have been settled. This<br />

order becomes only valid on written confirmation by <strong>Scafom</strong>.<br />

Contract conclusions and other agreements, in particular all<br />

subsidiary agreements and assurances made by our sales<br />

representatives, are only binding upon receipt of our written<br />

confirmation.<br />

Delivery conditions<br />

Payment conditions<br />

Packing charges<br />

Responsible Sales Contact<br />

Signature customer<br />

www.scafom.com<br />

Please copy this form, fill in the copy and send it by fax to the following no.:<br />

+31 495-43 06 76

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