WOOD PELLETS ORDER FORM

  1. Invoice datas

  2. Company
  3. Company name
    Prosím, napíšte názov spoločnosti.
  4. Registration No.
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  5. VAT Reg. No.
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  6. Customer - contact person
  7. Title
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  8. Name*
    Please, write your name.
  9. Surname*
    Please write your surname.
  10. Address
  11. Street, number*
    Please write your street and street number.
  12. City*
    Please write your city.
  13. Post code*
    Please write your postcode.
  14. Country*
    Please write your country.
  15. Contact
  16. Tel., mobile No.*
    Please write your telephone or mobile No.
  17. Email*
    Please write your email address.
  18. Address for delivery, if different from invoice Address

  19. Company
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  20. Name
    Invalid Input
  21. Surname
    Invalid Input
  22. Street, number
    Invalid Input
  23. Town, country
    Invalid Input
  24. Post Code
    Invalid Input
  25. Payment

  26. Way of payment*
    Please select prefered way of paymenent.
  27. IBAN
    Invalid Input
  28. SWIFT code
    Invalid Input
  29. Wood pellets order specification

  30. Quantity (in tons)*
    Please write quantity of pellets in tons.
  31. Pellets diameter*
    Please select preffered diameter of pellets.
  32. Package*




    Please specify package of pellets.
  33. Delivery

  34. *
    Please select preffered delivery of goods.
  35. Place of delivery*
    Please specify place for delivery.
  36. Preliminary term of delivery*
    Please specify preliminary term of delivery
  37. Storage capacity m3 (in case of tank truck delivery)
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  38. Installed boiler (type, brand)*
    Please write installed boiler.
  39. Installed output*
    Please write installed output in kW.
  40. Comment
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  41. Rewrite code*
    Rewrite  code
    Please rewrite verification code.