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firma oferta dla stomatologii oferta dla medycyny zamówienia

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orders for dental surgery

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To improve the organisation of our Sales Department, with special emphasis on the customer, we prepared a simple form for ordering our products, available in two versions:

Upon receipt of your form, a Sales Department employee will contact you to confirm the order and to complete the delivery as soon as possible.


order form - DENTAL SURGERY

product name

package
box/roll

no. of pieces

no. of rolls or boxes in external package

number of ext. pack. green colour

number of ext. pack. blue colour

number of ext. pack. yellow colour

number of ext. pack. apricot colour

number of ext. pack. heather colour

number of ext. pack. white colour

Classic
dental towels of absorbent paper and foil
33 x 48 cm

roll

40

12 rolls

folded into rectangle
in a box

80

6 boxes

Plus
dental bibs of absorbent paper and foil
51 x 65 cm

roll

30

9 rolls

Normal
dental bibs of foil
56 x 80 cm

roll

100

6 rolls

Dentusie
dental bibs for children 25,5 x 37 cm

rolls

40

10 rolls

Please specify the ordered numbers of external packages of a given product in the empty fields.

 

Customer information
(i.e. VAT invoice data)

Delivery address
(leave empty fields where the data is identical to the customer information)

First and last name
of contact person

Company name

Company name

Company address

Company address

Contact telephone

NIP (Tax ID number)

Notes

Contact telephone

Fax

E-mail


I declare that I am a VAT payer and please send an invoice without signature.

   

Form of payment:

bank transfer     prepayment     postal collection orde

   

Form of transport: shipment by GLS forwarding company. Time of delivery for standard orders is up to 7 days.

 

I authorise the collection and processing of my personal information (pursuant to the Personal Information Protection Law of 29.08.1997) in Weber & Weber Sp. z o.o. database. I shall have the right to review my information, to correct or delete it.
The information will only be used for marketing purposes. It is given voluntarily.

 



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