Purchase order
*
item must be filled in obligatorily
**
choose one of the items
Term:
*from
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
January
February
March
April
May
June
July
August
September
October
November
December
year
2002
2003
2004
2005
*to
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
January
February
March
April
May
June
July
August
September
October
November
December
year
2002
2003
2004
2005
*First name and surname:
Street:
Town:
Post code:
**E-mail:
**Telephone:
Fax number:
*Number of persons:
Other remarks:
Contact:
benecko@readymont.cz
Fax number: +420466412023