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To place the order, please complete and send us this form.
By pressing "Confirm order" button you agree with the prices and conditions shown in this web site.
Fields with asterisk (*) must be filled.

ITEM ORDER:

Number of items:

If you wish to order more than 5 items, please contact us.
For orders from outside of the European Union, we do not charge VAT. However in this case a purchasing person or organization is responsible for payment of all local taxes on imported goods.

INVOICING AND DELIVERY DATA:

Your Name *:

Organization:

E-mail *:

Phone Number *:

Street address *:

ZIP (Postal code) *:

City *:

Country *:

SHIPMENT:

	*Accept shipment costs :**
	Regular mail in the Netherlands (EUR 8.95)
	Regular mail to other European countries (EUR 18.95)

PAYMENT METHOD:

	*Select your payment method :**
	Bank transfer
	iDeal
	Payment on delivery (in the Netherlands only) (+ EUR 10)
	Paypal
	Credit card (Mastercard/VISA)

	We accept credit cards via PayPal service. When choosing option of payment with credit card you will be directed to secure PayPal server wherefrom you may further proceed to payment with credit card. You do not need to have PayPal account to pay via PayPal service.

EU VAT ID number

(enter VAT ID number only if items are ordered and paid by an organization located within the European Union except The Netherlands, and which has a valid registered VAT ID number)

Comments
(if any):

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