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									Product Code   Quantity Customer Product Code   Customer Item Number   Requested Delivery Date   Price
                                                                                                         Date:

                                                                                                         Please provide also these information

                                                                                                         Company:

                                                                                                         Street:

                                                                                                         City:

                                                                                                         Postcode:

                                                                                                         Account Number:

                                                                                                         Name:

                                                                                                         Position:


                                                                                                         Once you have filled the form you can:

                                                                                                         upload it on our shop on-line MyABB
                                                                                                         or
                                                                                                         send it via email to orders.lvp@gb.abb.com

                                                                                                         Note: you need to be an existing customer

                                                                                                         Note: If you have a special promotion/quotation code
                                                                                                         please send your order through mail

                                                                                                         Promotion/Quotation code:

								
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