Order Form Chemicals Online

Catalogue No.	Name	Quantity







We agree on the terms and conditions of sale according to General Information. Shipping charges, insurance (3%) and handling fee CHF 25.00 will be added to the invoice. Please send our order by International Parcel.
Delivery Address:
PO number Name of the Organization Responsible Person Address Zip Code & City Country Telephone Fax e-mail Date
Invoice Address:
Same address as above
Name of the Organization Responsible Person Address Zip Code & City Country Telephone Fax e-mail CAPTCHA Code: