REQUEST OF BUDGET

THROUGH THIS FORM, YOU CAN ASK A BUDGET OF BRAZING ALLOYS AND FLUXES. PLEASE FILL IN THIS FORM AND WE WILL SEND YOU OUR BEST OFFER.

TRADE NAME:
IDENTIFICATION NUMBER:
CONTACT PERSON:
POSITION:
ADDRESS:
POST-CODE:
LOCALITY/TOWN:
PROVICE/COUNTY/STATE:
COUNTRY:
TELEPHONE NUMBER:
FAX NUMBER:
E-MAIL:
¿HOW DO YOU WISH TO RECEIVE THE BUDGET?: BY E-MAIL BY FAX
TRANSPORTING CONDITIONS: EXW FOB CFR CIF DDP (ONLY EEC)
PLEASE INDICATE HERE, ALLOY/S, DIAMETERS AND QUANTITIES:
COMMENTS: