Hoja de Pedido (Solo Para la Peninsula)
Order form (Only for mainland Spain)

Por favor cumplimentar la siguiente hoja de pedido
Please provide the following contact information:

Nombre / First name

Apellidos / Last name

D.N.I. / N.I.E. / C.I.F.

Direccion / Address

Ciudad / City

Provincia / Province

Codigo Postal / Postal code

Pais / Country

Tel. Trabajo / Work Phone

Tel. Casa / Home Phone

Fax

E-mail

Nª de unidades / Nª of Units @ 389,00 €uros + 16% I.V.A. incluido

As payment for the above specified 's Guadalmina Services is authorized to charge my credit card with the amount of:

Forma de Pago / Payment form
Contra reembolso/COD

Mandamos un e-mail de conformidad de envio con el numero tracking de UPS
We send an e-mail with confirmation of goods sent and a UPS tracking number

	Exclusivly distributed on the internet for Spain and Portugal by:
	Distribuido exclusivamente en internet para España y Portugal por:

Guadalmina Servicios y Comunicaciones
Urb. Guadalmina Alta • Edif. Barclays
Local No 4 • San Pedro Alcantara
Marbella • 29678 • Malaga
Tel: +34 952 88 00 32
Fax: +34 952 88 74 95
floatron@guadalmina.com
http://www.guadalmina.com/floatron/index.htm

*Nombre / First name*
*Apellidos / Last name*
*D.N.I. / N.I.E. / C.I.F.*
*Direccion / Address*
*Ciudad / City*
*Provincia / Province*
*Codigo Postal / Postal code*
*Pais / Country*
*Tel. Trabajo / Work Phone*
*Tel. Casa / Home Phone*
*Fax*
*E-mail*
*Nª de unidades / Nª of Units*	@ 389,00 €uros + 16% I.V.A. incluido
As payment for the above specified 's Guadalmina Services is authorized to charge my credit card with the amount of:
Forma de Pago / Payment form	Contra reembolso/COD

Hoja de Pedido (Solo Para la Peninsula) Order form (Only for mainland Spain)

Hoja de Pedido (Solo Para la Peninsula)
Order form (Only for mainland Spain)