4
EN
You can use this page to keep a record of your purchase and the contact details of the sales outlet together with your
receipt.
Date: ……………………………………………………..
Contact details of sales outlet: ……………………………………………………...................................
Company name: ……………………………………………………………….........................................
Contact: …………………………………………………………............................................................
Street name and number:…………………………………………………………...................................
Postcode: …………………………………………………………..........................................................
Town/City: ………………………........................................................................................................
Tel.: ……………………………...........................................................................................................
Fax: ………………………………………............................................................................................
Email: …………………………………………......................................................................................
Website: ……………………………………………..............................................................................
DE
Auf dieser Seite können Sie Ihre Kaufdaten (Kaufbeleg, Kaufdatum und Kontaktdaten der Verkaufsstelle) notieren.
Datum: ……………………………………………………..
Kontaktdaten der Verkaufsstelle:.......................................................................................................
Firmenname:.....................................................................................................................................
Kontaktperson:.................................................................................................................................
Straße und Hausnummer:..................................................................................................................
PLZ:..................................................................................................................................................
Ort:....................................................................................................................................................
Telefon:.............................................................................................................................................
Fax:...................................................................................................................................................
E-Mail-Adresse:.................................................................................................................................
Website:............................................................................................................................................
NL
Deze pagina kunt u gebruiken voor het bewaren van uw aankoopgegevens, zoals aankoopbon, aanschafdatum en
contactgegevens van het verkooppunt.
Datum: ……………………………………………………..
Contactgegevens verkooppunt:
Naam bedrijf: ………………………………………………………………..............................................
Contactpersoon: …………………………………………………………................................................
Straatnaam en nummer:………………………………………………………………..............................
Postcode: …………………………………………………………..........................................................
Plaats: ………………………..............................................................................................................
Telefoonnummer: ……………………………......................................................................................
Fax nummer: ………………………………………...............................................................................
Mail adres: …………………………………………...............................................................................
Website: ……………………………………………..............................................................................
Summary of Contents for Height adjustable tilting commode/shower chair
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