Insert the text after the print out and send a fax. Thank you.

Yes,
please send us

....  cp(s)     (Ringbinder with colour chart sets, Edition3, according
 Media Standard, ISO and Process Standard Offset, six printing versions)
@ 125 GBP per copy and 11 GBP p & p (please give your VAT Reg. Nr.)

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Company:

Attn. Ms.:

Attn. Mr.:

Street:

Postcode / City:

VAT Reg. Nr.:

eMail:

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Payment by CC:

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Card holder:

Date:

Signature:

  Visa   O     Mastercard   O      Eurocard   O

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Micklei FarbenLand - Michael Micklei
Grubberg 3 B  -  D-93170 Bernhardswald  -  Germany
Tel. +49 (0) 9408 869456  -  Fax +49 (0) 9408 869457