product request

[Translate to en:] Produkt-Anfrage

company
First name*	Last name*
Address*
Postal code*	City*
phone*	Fax
E-Mail*	Homepage

I'm interested in following products: Hüpfburg, 3x4m Hüpfburg, 4x7m Hüpfburg Castle, 3x4m Sonderformen (bitte unten angeben)
number of usage-days	requested date of usage
pickup date	return date
delivery and pickup by Balloonart Vienna
I'm also interested in balloons, gas and accessoires Ballonset mini (50 Stk. Luftballone, Durchmesser 28cm, Ballongas, Schnüre, Füllgerät) Ballonset medium (100 Stk. Luftballone, Durchmesser 28cm, Ballongas, Schnüre, Füllgerät) Ballonset maxi (100 Stk. Luftballone, Durchmesser 28cm, Ballongas, Schnüre, Füllgerät) Herzenset mini (50 Stk. Herzluftballone, Durchmesser 8cm, Ballongas, Schnüre, Füllgerät)
please describe any custom-requests here:

(copy 1)

[Translate to en:] » Produktanfrage