To order, simply print out the form below, fill it, sign it and fax it to our office today.
We accept Visa and Mastercard.
Commande
| Désignation | P.U. (Euros) | Quantité | Total (Euros) |
| Locaux d'habitation | |||
Flat, Studio, Appartement 1 ou 2 chambres |
59,50 | ||
| Appartement 3 ou 4 chambres | 74,40 | ||
| Locaux commerciaux ou industriels | |||
| 1 appât par mètre carré, par unité de 12 | 29,75 | ||
Frais d'expédition
| Pays-Bas - France - Allemagne | 18,60 | ||
| Pays de l'Union Européenne | 21,10 | ||
| Autres Pays Européens - U.S.A. - Afrique du Nord | 24,70 | ||
| Reste du Monde | 32,10 | ||
Acheteur
| DATE | |
| NAME | |
| COMPANY NAME | |
| ADDRESS | |
| CITY, STATE, ZIP | |
| PHONE NUMBERS | |
| FAX NUMBERS | |
| EMAIL ADDRESS | |
Payement
| TYPE OF CREDIT CARD | VISA MASTERCARD |
| CREDIT CARD# | |
| EXPIRATION DATE | |
| NAME ON CARD | |
| AMOUNT | EURO |
| (Required) SIGNATURE | |
| DATE | |
You may fax your order to us at +32 2 376 27 68.