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Order form for catalogue/stock products only

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You can use this form to order items directly from our product range (i.e. catalogue/stock products). The form has an integrated article database. Simply enter the required article number; all other article data and prices will be filled in automatically

The minimum order value is EUR 20.00! We regret that orders for less cannot be processed cost-effectively. To reach the minimum order value, you can also add an order via LGB Ersatzteile (LGB spare parts) or Kataloge (Catalogues) to this order. Please select “Combined Shipment” as the delivery option on all forms used. The EUR 20.00 block is then automatically deactivated and the order is forwarded to us with an appropriate note of added orders for combined shipment.

Fields with a * are required fields and must be completed.

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Customer no. (if available):

New customer:

First name:
*
Last name:
*
Street
house no:
* *
Postcode
town/city:
* *
Country:
*
My adress data has changed since my last order!
Telephone:
(Country code) area code / telephone number
( ) / *
Fax:
(Country code) area code / fax number
( ) /
Mobile:
(Country code) area code / mobile number
( ) /

date of birth (voluntary):


E-mail:

My e-mail adress has changed since my last order!



Delivery option:*
Shipment
Collection
Combined shipment spare parts/catalogue and/or standard order (please note minimum order value of EUR 20.00)

Delivery address:*
invoice address
different address
use delivery address, i used for former orders

Payment method:*
Payment in advance
Invoice – payable within 14 days from receipt of goods
Cash on delivery (plus COD charge, shipping and handling, minimum order value of EUR 20.00)
Direct debit at a 2% discount (Germany):
Bank:

IBAN:

BIC:

Account holder:

My bank account has change since my last order!

If a direct debit agreement from an old delivery exists , I ask to use this direct debit agreement also for this new order!
If a direct debit agreement from an old delivery exists , I wish to cancel this direct debit agreement. I use a other payment method.
Preferred delivery date:




Requested items: (please note: minimum order value of EUR 20.00!!)

Quantity
Art. no.
Article description
Unit price
Total



Total: 0,00 Euro
plus shipping and handling on a time and material basis. All prices in Euro.



Comments:


I have read and accept the right of revocation .*
I have read and accept the AGB (GTC) .*

I agree that the above data given by me, are used only for advertising (for example, information on special offers, news and promotions) by post and by EDP (e-mail newsletter) exclusively from CHAMPEX-LINDEN and the selected print provider. There is no transfer of data to other companies for promotional or marketing purposes.