Orderform

To order an instrument, or several instruments, please fill in the following form with your requirements.

You can print this form by using Printversion on the left, fill it in and fax it or send in an envelope.
You can also mail your wishes on my e-mail address

You can copy the form below and paste it into the Mail on the left after You have opend it, complete it there and send it.

I will then contact you giving all information needed, such as waiting time and various options available.


Please describe your requirements in the space below :

.............................................................................

please enter your e-mail address :..............................

name :...................................................................

first name :.............................................................

adress :..................................................................

postcode :..............................................................

town :...................................................................

country :................................................................

telephone number :...................................................

2nd tel.no.:..............................................................


                      Frithjofstraße 71       D-13089 Berlin, Germany         
Tel.: ++49(0)30-47307098       Fax: ++49(0)30-47307098
info@guido-m-klemisch.de       www.guido-m-klemisch.de