____INFORMATION FOR MATERIALS REQUEST____

PERSONAL DETAILS
Company
Person making inquiry
Telephone
Fax
Department of company
E-mail

INFORMATION FOR MATERIALS REQUEST
Type	BSE TFS BN BSE/TFS BN/FFS	Scroll? NO YES

Thickness from

to

Width
Length
Distinct lamination direction? NO YES

If you selected type BSE or BSE/TFS, specify:
Covering	-- 10/10 10/20 20/20 28/28 28/56 28/84 28/112	differentiated? -- NO YES

Hardness from

T50 T52 T55 T57 T61 T65 DR8 DR9 DR480 DR520 DR550 DR580 DR620

to T50 T52 T55 T57 T61 T65 DR8 DR9 DR480 DR520 DR550 DR580 DR620

Finish

stone bright stone/bright opaca silver

Also opaque NO YES

Q.ty in kg

sheets

Delivery date

Destination

Repeat order

Single order

If you selected "repeat order", specify:
Annual requirement

Use	body bottom lid cap other
Internal treatment	Enamel covering Varnish Print on raw material Covering print Raw Gilded Other
External treatment	Enamel covering Varnish Print on raw material Covering print Raw Gilded Other

Notes

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