insertion/order

Sie sind hier:

INSERTION/ORDER

name/firm.:

Christian name:

address 1:
	postal code / city
address 2:
	street / postbox etc.
telephone/fax:

e-mail:

I /WE WOULD LIKE TO PLACE AN ORDER FOR -


	insertion (free of charge !) in rubric "offers"

	insertion (free of charge !) in rubric "demands"

	address of a certain supplier/buyer (against fee !) to item:

product/serv.:
	(designation of item /subject /sort, etc.)
amount/price:
	(please name both)
additional details:
	(for instance: terms of delivery etc.)
message:
	additional information, if wanted