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  16/10/2008
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Home Order a courier

Order a courier

Sender
Forename:
Familyname:
Zip code:
City:
Company:
Address:
Phone:
Receiver
Forename:
Familyname:
Zip code:
City:
Company:
Address:
Phone:
Service
 
Number of parcels: weight
Dimensions:
Value:
Parcel



to
Order
 
Forename:
Familyname:
e-mail:
Phone:
Comments:
The order is placed by:



(fill in if order is placed by a third party)
Forename:
Familyname:
Zip code:
City:
Company:
Address:
Phone:

Form of payment: bank transfer number of payer
 


 
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