EXOTENPLANTAGE
Mietpflanzen – Pflanzenverkauf - Fachberatung

Bestellformular  senden an:                              ___________________________________
                                                                     Veranstaltung
                                                                      ___________________________________
Exotenplantage                                               Name                                     
Frank Dierich                                                   ___________________________________
Austr. 23/1                                                     Strasse
88319 Aitrach / bei Memmingen                         ___________________________________
                                                                     PLZ, Stadt
                                                                      ___________________________________
                                                                     Tel                                      Fax
                                                                      ___________________________________
                                                                     E-mail
                                                                      ___________________________________
                                                                      Halle , Stand –Nr                             Raum
Tel.+Fax 07565-9190529
e.mail info@exotenplantage.de                                                                                                                                                                  
Anzahl             Pflanze                         Grösse cm                   Verleihpreise ( netto)
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Übertöpfe                                                       ---------------------------------------------------
Eichentöpfe                                                     --------------------------------------------------
Terracotta                                                       --------------------------------------------------

Transport                                                       
                                                                       ===========================
                                                                                  +    19 % MwST ---------------------
                                                                                      
                                                                               Gesamt  =================     
Grosspflanzen nach Besprechung

Sonderwünsche:---------------------------------------------------------------------------------------
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Bestellung unter Kenntnisnahme der Geschäfts.-und Lieferbedingungen :
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Ort, Datum                                                     Unterschrift, Firmenstempel