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ORDER                                                                                                2018

To: PPW-POLYPLAN-WERKZEUGE GmbH
             Riekbornweg 20, 22457 Hamburg

Fax-no.: 0049 - 40 - 55 97 26 65 or e-mail: ppw@polyplan.com

Invoice address:                        Delivery address:

If you come from Europe, please give us your VAT-no:_________________________________

We ask for delivery of:                 Description                Quantity

             Article-No.

                                                     Delivery ex works Hamburg, packaging included.

Contact person:                    Fax                     e-mail

Phone
                 Date / Signature

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