Order form - Fax.: +49 (0)5258 9376697, E-Mail: info@knelsen.de

Customer-No.	Differing Shipping-adress
Order-No./ Com.
Company
Road, House No.
Postcode, City
Country	To hand to
E-Mail	Telephone

Articel-No.	Article Name	Quanity (VE or amount)

Shippingmethod Germany:

☐ Standard-Shipping. Shipment from 1 to 3 working days

Express-Shipping up until	☐ 8.30 am	☐10.00 am

☐12.00 am	☐18.00 pm

Remark:

Contact for questions	Telephone	Date	Signature/Stamp