Online order

Client / Pickup address

Customer number:
Company:
Contact person:
Adress/Nr:
PLZ:
City:
Tel:
Fax:
Email:
Pick-up date:
Pick-up time:

Receiver / Delivery address

Company:
Contact person:
Address/Nr:
PLZ:
City:
Tel:
Pick-up date:
Pick-up time:

Invoice

 Client Receiver

Account:

Comment (e.g. Alternatively pickup & delivery)