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 Order form for a product or service

This is an order form for products not being indicated in the basic offer Simply, fill in and submit.

1.name of a product:
2.type:
3.number of pieces:
4.time of delivery:
5.technical documentation available:
6.is there a model product:
 If yes, please indicate an address for collection and date of delivery to the PPU Torkonstal:
7.technical documentation should be done:
8.prototype should be made:
 if yes, indicate deadline:
9.details of execution:
10.details of finishing: 
10.1.spray coating:
 color according to RAL:
10.2.flame zinc coating:
10.3.zinc coating and painting:
 color according to RAL:
10.4.raw:
10.5.Other- please describe:
11.product are to be exported:
12.place and terms of delivery:
13.suggested price:
14.address: 
 post address:
 tax register number:
 Company’s register number:
 e-mail:
 telephone:
 contact person:
  
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P.P.U. TORKONSTAL Sp. z o.o.    48-200 Prudnik, ul. Prążyńska 19, Poland    tel. +48 77 436 20 57 do 59, faks +48 77 436 22 61
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