Request for catalogue

Company name:

Street:

P.O. Box:

Postalcode:

City:

Country:

Telephone:

Fax:

Homepage:

e-Mail:

Legal form of company:

Sector:

Product range:

Are you a dealer or manufacturer?

Dealer
Manufacturer

Annual turnover (EUR):

Number of employees:

a. Managing director:

b. Buyer:

c. Accountancy:

Vat Reg. No.:

Where did you learn about our products? How did you become aware of our products?

Suppliers:

Agents:

a. Furniture casters:

Product		Quantities required per year
Chair
Office furniture
Home furniture

b. Glides:

Product		Quantities required per year
Chair
Office furniture
Home furniture