ORDERING FORM

PRICE REQUEST

FRAME 25

COPY BEFORE FILLING IN

MADE TO MEASURE MIRROR 44742.0, GLASS SHELF 44759.1

tick the appropriate, respectively give the dimensions

frame 25 mirror

order no. 44742.0

maximum width (X) = 2200 mm

delivery time: 3 weeks

X

measure X: . . . . . . . . . . . . . .

quantity: ................

price: ..................

mm (min. 150 mm)

piece(s)

piece(s)

X

Color of the frame:

anodised aluminium 144

black matt 450

frame 25 mirror

order no. 44742.0

maximum width (X) = 2200 mm (min. 150 mm)

maximum height (Y) = 1200 mm (min. 150 mm)

delivery time: 5 weeks

measure X: . . . . . . . . . . . . . . mm

measure Y: . . . . . . . . . . . . . . mm

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

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

frame 25 glass shelf

order no. 44759.1

maximum width (X) = 2200 mm

delivery time: 4 weeks

measure X: . . . . . . . . . . . . . . mm

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

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

frame 25 fixation set for glass shelf

for length < 900 mm

order no. 49059.7 – set with 2 wall holders

order no. 49071.7 – set with 2 mirror fixation adapters

for length > 900 mm

order no. 49059.8 – set with 3 wall holders

order no. 49071.8 – set with 3 mirror fixation adapters

for length > 1800 mm

2x order no. 49059.7 – per set 2 wall holders

2x order no. 49071.7 – per set 2 mirror fixation adapters

ARTICLE-NR:

DISTRIBUTER:

SIGNATURE:

Please note:

The combination of mirror mounting adapters with

vertical LED light is not possible.

Color of the fixation set:

chrome 000

OBJECT:

INSTALLER:

DATE:

black matt 450

X

1

2

0

Y

7

0

0