Order card KH107
| Quantity | Name of article | Cost p. Unit | Total sum |
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| Set of 8 |
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| Brushheads for: | 8,00 € | € |
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| KH107 |
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| Toothbrush |
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€
Add. 2,00 € p&p.
Payment method
Cheque payment
(Location, Date)
Sender / Orderer
(please complete in block capitals)
Surname, first name
Street
Post code/town
(Signature) | Telephone |
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