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VC9
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www.primo-elektro.be
BESTELFORMULIER VOOR ONDERDELEN PRIMO-VC9 STOFZUIGER
BULLETIN DE COMMANDE POUR PIèCES DETACHEES PRIMO-VC9 ASPIRATEUR
BESTELFORMULAR FÜR PRIMO-VC9 STAUBSAUER
Vul het bestelformulier volledig in en stuur het per post op. Ondergetekende bestelt :
Complétez ce bulletin de commande et renvoyez-le par poste :
Bitte das Formular ausfüllen und mit der Post zurückschicken. Unterzeichnete bestellt :
PRIMO
BOUWELVEN 12A
2280 GROBBENDONK
AANTAL EENH.PRIJS TOTAAL
QUANTITE PRIX UNIQUE TOTAL
ANZAHL EINZELPREIS GESAMT
VC9-1 Vloerzuigmond/suceur universel
Universele Saugdüse ....................................................................... 5,00 € ..................
VC9-FIL Set 2 motorlters + HEPA lter
Set de 2 ltres moteurs + ltre HEPA
Set 2 Motorlter + HEPA Filter ....................................................... 10,00 € ..................
VC3-61 Kleine vloerzuigmond /petit suceur/
Kleine Saugdüse .............................................................................. 4,00 € ...................
VC3-60 Kierenzuiger/ suceur long/ritzen Düse .............................. 4,00 € ...................
VC9-3 Flexibele slang/exible/Schlauche ..................................... 6,00 ...................
Verzendkosten/frais d’envoi/ Versandkosten 3,75 €
TOTAAL........................................................................................................................................................
De betaling dient voorafgaandelijk te gebeuren per overschrijving op rekening 552-2955000-40 (met ver-
melding PRIMO-VC9)
Paiement à l’avance par versement au n° bancaire 552-2955000-40 (avec mention PRIMO-VC9)
Bitte im voraus bezahlen mit Überweisung auf kontonummer 552-2955000-40 (Angabe PRIMO-VC9)
NAAM :.........................................................................................................................................................
NOM
NAME
ADRES : .......................................................................................................................................................
ADRESSE
TEL : ............................................................................................................................................................
DATUM + HANDTEKENING :
DATE + SIGNATURE
19


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