FrontaLED 75, bd. Saint-Georges 1205 Geneva Switzerland
Order Form   (print it, fill it in and send it)	Phone : +41 22 329 75 95 Fax : +41 22 329 75 03 mail : frontaled@frontaled.com internet : www. frontaled.com

Last name :	First name :
Delivery address :
Phone :	Fax :
e-mail :

Item	Quantity	Price/piece	Total price
FrontaLED Alpinist
FrontaLED Trekker
Shipment cost (Economy / Priority) Unless the buyer requests it differently we ship the items with the "Economy" service of Swiss Post.
TOTAL      CHF

Remarks :

Payment :  Check    VISA    Eurocard/Mastercard    Cash with order
Card number :	Valid. :
Holder's Name :
Card billing address :

Date :

Signature :

Our general sale and delivery conditions apply to all our sales

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