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Order


 

Personal data:

Person placing order

 Title*
    
  Surname:*
 First Name:*
 Position:

Contact

 Telephone:*
 Mobile:
 e-Mail:*
 

Broadcaster / Production company:

  Name:*
 Editorial:
 Management:

Address

 Street/number:*
 Zip code:*
 Town/city:*
 

Intended purpose:

  Intended purpose*:
 Title of the program:
 Other intended purpose:
  Broadcast date:
 Broadcast time:
  
 

Order

Salzgitter AG Press Film Betacam SP DVD Via ATM
Steel Production Betacam SP DVD Via ATM
Steel Technology Betacam SP DVD Via ATM
R&D and Services Betacam SP DVD Via ATM
 

Delivery address

if different from invoice/sender’s address:
  Company:
    
  Street/number:
 Zip code:
 Town/city:
  Recipient's surname:
 Recipient's first name:
 Recipient's telephone:
 

Delivery via ATM:

Per ATM: 10 a.m. - 1 p.m. or
5.30 p.m. – 7 p.m.
ATM no: +49 511 121236-11 		Date of your tel. call
(dd.mm.yyyy):*
 Time of your tel. call
(hh:mm)*
 
* I acknowledge the general terms and conditions of Salzgitter AG for the use of the material.



*: Compulsory fields

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