Fax Nr.(0049) 09166 / 208 * duoject@t online.de

Dipl.Ing.P.Jonas * Am Geißbühl 6 * D - 91456 Diespeck * Tel.09166 / 208
Participation in to"Systematischer Branchenindex rund um die Kunststoffverarbeitung"

Please you complete the following specification and print you the filled out form on your printer out-transmit you then the fax to above Nummer.We set us immediately with you in connection (translate)

Yes, I require a complete entry with email and URL linking at my Homepage.Den price of EURO 150 + to value added tax for 6 months transfer I on receipt of the invoice. ( Umrechnungskurse )

I would like a supply for banner advertisement I would like a supply for our company Logo

[FrontPage-Komponente "Ergebnisse speichern "]

Please you input the following contact contacts:

Their character Date:
Partner Title
Abbott / function
Company
Postal zip code Place
Road Nat.
Telephone Fax:
E-Mail URL

Give they your product code digits from the industry index (by hand or copy and paste).

Please you will printout the fax on your printer. Homepage

(stamps and signature)