Name / Family-   
Vorname / First- 
Strasse / Street  Nr./No.  
Land / Country     
PLZ / ZIP        Ort/City 
Telefon        
Fax            
e-Mail         

Eintrag in H-R-F_ e-Mail Liste / enter address into H-R-F mailing list.


Artikel_/ _Articles

Kat.Nr.	Anzahl	Beschreibung
Cat.No.	Quantity	Description

Bemerkungen/ Comment