ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
Climbing Mall ORDER FORM
3
4
Thank you for filling in as many details as possible to ensure your order will be handled correctly.
5
For BE/FR orders
6
Date of the order:SUMMARY
PRICE (excl. VAT)
PRICE (incl. VAT)
7
TOTAL ORDER *€ 0,00€ 0,00
8
Company name:Sup'R (macros & PU)€ 0,00€ 0,00
9
Street:
Sup'R (wood) - IN PROGRESS
10
Postcode:Arctic Grips€ 0,00€ 0,00
11
City:Decoy€ 0,00€ 0,00
12
Country:Kai
13
VAT / TVA / Tax ID number:Chapter€ 0,00€ 0,00
14
Contact name:Underblue
15
E-mail:Bat€ 0,00€ 0,00
16
Phone:Polytalon€ 0,00€ 0,00
17
Unleashed
18
Your Ref. number (if any):Cai€ 0,00€ 0,00
19
Preferred delivery date:Allgäu€ 0,00€ 0,00
20
Is this for a competition?Evo€ 0,00€ 0,00
21
If yes, which competition?Contact€ 0,00€ 0,00
22
Date of competition:
* Cost of shipping & packaging will be added to final invoice unless otherwise advised.
23
Do you need bolts?
All prices in Euros unless otherwise specified.
24
Any comments:
For Sup'r Wooden Volumes, special RAL / bicolor 10% surcharge.
25
26
DELIVERY DETAILS (if different from above)
MaterialQty Shapes
27
Company name:PE0
28
Street:PU0
29
Postcode:GRP Full Tex0
30
City:GRP Dual Tex0
31
Country:Ice Plates-
32
Contact name:Wooden Volumes0
33
E-mail:Wooden Holds-
34
Phone:Hang Boards-
35
36
37
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181