KEMPER - Repa-Tec Lastechniek

Please use this fax form as master copy.Order FormKEMPER fax number: +49 (0) 2564 - 68 - 120CustomerCustomer no.: ..........................................................Company: .....................................................................Address: ..........................................................Post code, Place: ..................................................Name: ..........................................................Tel.: .....................................................................Fax: ..........................................................E-Mail: .....................................................................We order under acceptance of your conditions of sale, terms of delivery and terms of payment:Part no. Quantity Description € / Unit TotalAdditional enquiries: I would like to receive the following catalogues: KEMPER product catalogue Extraction tables for cutting units Extraction units with automatic filter cleaning Vehicle exhaust extraction systems I have further questions and would appreciate if you could ring me back. I would like to make an appointment with one of your representatives.Place, DateSignature169 |