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HW group - Manual Order Form

HW group s.r.o. Voice: 00 420 222 511 918
Rumunska 26/122 Fax: 00 420 222 513 833
Prague 2, 120 00 internet: www.HW-group.com
Czech Republic – Europe email: orders@HWg.cz
ID:
NAME:
EMAIL:
COMPANY:
PHONE:
VAT NUMBER: (VIES)
Delivery address: Invoice address:
Quantity Item OID Item Name (Check in: Product OID list) Unit price Total

Shipping: Other Countries 46€ Europe 33€ Shipping cost is valid for small order only, it depends on the country and total weight.
USA 38€ Asia 42€
Payment: Wire transfer Just fill and send this form, we’ll send you proforma invoice by email in .PDF format.
Credit Card
VISA or Eurocard/MasterCard
Fill this form (without your credit card data), print it, fill your card data, sign and fax to our fax number (+420 222 513 833). Please accept our apologize, but we can’t accept your Credit Card data and authorized sign in any other way, than hand signed and faxed (scanned) is.
Date YYYY/MM/DD,
Name on the card
Card Number
CVS Code
Expiration Date:
Authorized Sign:
Total: EUR
Please withdraw given amount from my account.

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HW group - Prague - Czech republic - Europe