Dear Customer,
You can use the below form to place an on-line order.
(“If you wish, you can also print a “blank” order form, complete it and fax it or mail it to us. Click here for a blank order form).
Complete the necessary fields and then click below on "Order". We will then send you a “pro-forma” confirmation of your order by e-mail or fax.
Kind greetings,
Fernand Verlaecke
Your data: (* indicates data that is obligatory)
Order form
Please check the above information. Any errors can be corrected before clicking the ORDER button.
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