Semen Order Form

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Adjective 8.00  
Bismuth 8.00  
Libro 8.00  
Raciste 12.5  
     
Diabolo 6.00  
Nero 6.00  
Classique 6.00  
Nomade 6.00  
Jeton 5.00  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No Straws Via Genus Via Independent
25 -  49 15% 10%
50 -  74 20% 15%
75 -  99 25% 20%
100 -149 30% 25%
150 + 50% 50%

Please provide the following contact information:

Name
Address
 
 
 
Post Code

E MAIL    *

Phone

VAT number

If VAT Number is supplied Invoice is VAT free

Delivery Via  GENUS AI  Depot          

Delivery Via INDEPENDENT AI          

Delivery by Any Other Source    Please fill in name of supplier.

I confirm that I am aware and accept the terms and conditions set out by BBG and agree to pay the required amount due within 30 days of receipt of invoice                                                                                                                                                                                   

If Confirmation of order is required please Select 

Date

Please PRINT name of person ordering      

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Last modified: 02/26/08