ORDERING FORM

PRICE REQUEST

BASE

TALL CABINET MADE TO MEASURE 40273.0

COPY BEFORE FILLING IN

tick the appropriate, respectively give the dimensions

tall cabinet, side panels with radius

1 door (soft-close mechanism), with handle

minimum width (X1) = 250 mm / max: 450 mm

minimum hight (Y1) = 700 mm / max: 1650 mm

delivery time: 4 weeks

measure X1: . . . . . . . . . . . . . mm

measure Y1: . . . . . . . . . . . . . mm

quantity: ................ piece(s)

price: .................. piece(s)

door hinge left

door hinge right

feet round (2 pieces), anodized aluminium

height X / order no. – for combination with vanity units

263 mm / 40299.0 – Base for Val

283 mm / 40299.1 – Base for Laufen Pro S

293 mm / 40299.2 – Base for Laufen Pro S

tall cabinet, side panels with notch

1 push and pull door

Laufen Pro S 86496.0/.1/.2/.3

minimum width (X1) = 250 mm / max: 450 mm

minimum hight (Y1) = 700 mm / max: 1650 mm

delivery time: 4 weeks

measure X1: . . . . . . . . . . . . . mm

measure Y1: . . . . . . . . . . . . . mm

quantity: ................ piece(s)

price: .................. piece(s)

door hinge left

door hinge right

feet square (2 pieces), anodized aluminium

height X / order no. – for combination with pack washbasins

293 mm / 48310.5 – Laufen Pro S 86496.0/.1/.2/.3

dark brown elm 263

multicolor 999 / color code __ __

ARTICLE-NR:

DISTRIBUTER:

SIGNATURE:

X1

X1

Color:

white matt 260

OBJECT:

INSTALLER:

DATE:

white glossy 261

light elm 262

3

3

6

3

3

6

X

Y

1

X

Y

1