Littfinski DatenTechnik (LDT) - Become a Digital-Professional!

O r d e r

Yes, I order the following:

Order code		Quantity	Price each	Total price
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
_____________________________________	:	_______	_______	__________
+ Packaging and freight cost	:		€	12,90
		Total Amount :	€	_____________

Payment by:

[] Advance payment( transferred on _____________ )

Bank:

Sparkasse Suedholstein, Bank Code 230 510 30

Account NO. 3 99 43 57

[] Credit card

Credit Card Type: [] EuroCard [] MasterCard [] VISA [] Diners Club

Card number: ______-_______-_______-_______ Valid thru:___________

Full Name:________________________________________

Deliveries outside Germany must have a minimum order value of € 80,-- and are only possible by payment in advance. (Bank charges to be paid by buyer) or Credit card.

First Name/Name	:	____________________________________________
Street	:	____________________________________________
Zip code/ city	:	____________________________________________
Country	:	____________________________________________
State	:	____________________________________________
Date/ Sign	:	____________________________________________

You can make a print out of this page and fax it directly to us: 0049 4122 / 977 382 or send it to us by post!