Order Form for inCoris CC Blocks

Product Specifications

• inCoris CC maxi L: Available in single units (1 pcs.), Reference number 63 39 613
• inCoris CC maxi S: Available in single units (1 pcs.), Reference number 63 39 597
• inCoris CC medi: Available in packs of 5 units (5 pcs.), Reference number 63 39 571
• inCoris CC mono: Available in packs of 10 units (10 pcs.), Reference number 63 39 555

Ordering Procedure

To place an order, fill out the form with the following customer details:

• Company name
• Last name, first name
• Street and house number
• Postal (ZIP) code and city
• Phone and fax numbers
• E-mail address
• Customer number (print clearly)

Send the completed form via e-mail or fax to your specialized dealer.

Key Points

• Ensure correct reference numbers and quantities are specified for each product.
• Complete all customer information fields to facilitate order processing.
• Use the designated communication channels (e-mail or fax) for submission.