Formular de Comanda             

Persoanele fizice, nu completeaza campul :2 si 3                           

1 Nume / Prenume :                       

2 Firma:    3 Cod fiscal :                                    

  4  Localitatea:            5 Judet :                                       

6 Sediul :        7 Cont/banca :                                                            

   8 Telefon:      9 E-mail:                                                                           

10 Produs comandat:             11Plata O.P. numerar ramburs Ramburs / OP.                                                 

   12 Adresa de livrare                                                             

13 Persoana de contact      14 tel.fix / mobil           

Pentru a fi luata in considerare comanda dv. este obligatoriu sa completati toate campurile