Order form

ITALIAN KITS MAIL ORDER - Via O. Limonta 66 - C.P.115 - 20092 Cinisello B. (MI)
P.iva 03129730960 - Fax: 02 61290775 - e-mail: info@italiankits.it

Modulo d'Ordine per i sig. negozianti (solo Italia/Italy only) - Minimo € 150,00 netti

Ditta_____________________________________________________________
Via_______________________________________________________________
Città_______________________________Prov.________CAP______________
Partita Iva____________________________C.F. ________________________
Tel._________________Fax._________________e-mail______________________
Tipo di pagamento: contrassegno____ ; bonifico bancario____
con carta di credito: (indicare tipo di CC) CartaSì___VISA___Mastercard___
Numero________/________/________/________; Scad.____/____; nr CV2______; intestata a_______________________Firma____________
Tenere in ordine il mancante?: Sì___ No___ Desidero ricevere email di avvenuta sped.ne___;

~ Per favore indicare codice e descrizione completi ~

Quantità Codice Descrizione Prezzo (se conosciuto)
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N.B.: I vostri dati personali saranno trattati in maniera riservata solo per ottenere l'autorizzazione da Serv.Interbancari ad addebitare la vs carta, per compilare i documenti di spedizione dei vs pacchi ed inviare bollettini informativi.

Quantità	Codice	Descrizione	Prezzo (se conosciuto)
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_______	___________	__________________________________________	________________
_______	___________	__________________________________________	________________
_______	___________	__________________________________________	________________
_______	___________	__________________________________________	________________
N.B.: I vostri dati personali saranno trattati in maniera riservata solo per ottenere l'autorizzazione da Serv.Interbancari ad addebitare la vs carta, per compilare i documenti di spedizione dei vs pacchi ed inviare bollettini informativi.