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ORDER FORM


CUSTOMER DETAILS
Company name *
NIP *
REGON/KRS *
HQ adress *		Additional information
	Delivery address is different from the registered address
Delivery address *		Additional information
Phone number *
Fax number
Ordering person *
E-Mail *
Delivery method *	Personal collection Courier
Payment method *	(Polski) Przelew (Polski) Gotówka
Payment method *	(Polski) Przelew (Polski) Pobranie
ORDER THE FOLLOWING PRODUCTS
1. Comments:
QUESTION CONTROL
Please answer the following question. * Total 20 + 30?