Inquiry Form
for Filter Inserts and Accessories / Spare Parts
PRODUCT INFO:
Article No.:
*) Description:
*) Quantity:
Drawing No.:
Position No.:
Production No.:
(An 8 or 10-digit number placed below the CJC logo
triangle on the CJC filter)
*) TRANSPORTATION INFO:
Collected
Truck
Air freight
Sea freight
Courier
Other
(Other)
*) Do you want us to arrange the transportation and
to include the net freight cost on the final invoice?
yes
no
CUSTOMER INFO:
Customer No. at CJC:
(an 8 digit number)
*) Company:
*) Contact person:
*) E-mail:
If you do not have a customer no. at C.C.JENSEN,
please fill in your company details:
VAT No.:
Address:
ZIP-Code:
City:
Country:
Phone No.:
Fax No.:
MARKINGS & DELIVERY ADDRESS:
Markings:
Delivery address
(only if different from customer info):
Consignee name:
Address:
ZIP-Code:
City:
Country:
Contact person:
Phone No.:
Fax No.:
E-mail:
*) Required Fields