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| TILAUSLOMAKE |
TixBit Oil &
Chemicals Oy |
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PL 23, 04401 Järvenpää |
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Mannilantie 45,PL 23
04400 Järvenpää |
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Puh/Fax 09-2922161 |
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0400-460 410 |
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reino.kokkonen@tixbit.com
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| Tilauspäivä |
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| Asiakkaan
nimi |
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(Asiakasnumero) |
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| Lähiosoite |
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Laskutusosoite, jos eri
kuin toimitusosoite |
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| Postinro/toimipaikka |
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Kotisivut: |
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Sähköposti: |
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| Asiakkaan
puhelinnumerot |
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Y-Tunnus: |
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| koti |
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| työ |
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GSM |
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| Tuote |
Tuotenro |
Lava/kpl |
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| Tilaajan
allekirjoitus:___________________________________________ |
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| Ajo-ohje/Lisätiedot |
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| Rahtiohje |
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RAHTI:_____(X) |
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Asiakas maksaa
rahdin___(x) |
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