Company

Your sector sales, wholesale or retail vendor, advertiser ...

Surname

Name

Street, number

Postal code, Town

Telephone

Fax

e-mail

For resellers only:
request the price list  

Fa.  ZACKIN - BERLIN
Kto.Nr.: 647 807 106
Postbank Berlin, Bank-ID: 100 100 10

 I would like to order the sample(s)
payment upon delivery  

Yes   pcs. à EURO 16,87/DM 33,50

I would like to order the sample(s) by
bank transfer   or  EU-Cheque 

Yes   pcs. à EURO 14,32/DM 28,50

in addition to the sample package
per item  EURO 1,99  /  DM 3,95

    pcs.   size 1

    pcs.   size 2