Online order

Please you fill out the following fields completely and dispatch these afterwards as email to me by pressing at the 'Send' button at the end of the page.
I reserve myself, for your own security when you order by cash on delivery to mail to you for request of additional acknowledgement.



Your name:
Road:
Postal code:
Place:
Country:
Telephone:
Fax:
ABBUC number:
email address:

How did you get to these Internet pages or devices attentively?
(multiple selections are possible)

How do you like the structure of this homepage in school notes?
1       2       3       4       5       6
Reason for your evaluation:

How do you want to pay the order?
Prepay (transfer) without date of delivery acknowledgement
Prepay (transfer) with date of delivery acknowledgement
Prepay (cheque) without date of delivery acknowledgement
Prepay (cheque) with date of delivery acknowledgement
Cash on delivery

Select now the articles you want to order:

Remarks to the order:

To send the order, please press the 'Send'-button.



© 1997 by Thomas Grasel