IONAC Order Sheet
(Please pring out this page and fax to +49-511-8485345)

To:
Euro-Japan Handel
Talstrasse 4
D-30880 Laatzen Germany
Fax: +49(Germany)-511-8485345

<IONAC Shower Head>
Euro 129,-(including 19% VAT) ____piece(including 1 filter)

<IONAC Cartridge Filter>
1 piece Euro 77,- (including 19% VAT) ____piece
3 pieces set Euro 200,-(including 19% VAT) ____Set
Total Euro_______ ,___
* We take the Postage to EU countries.

1. Name : ______________________________________________________
2. Address : ____________________________________________________
_______________________________________________________________
3. Tel :_________________________ Fax: ______________________________
4. E-Mail: _______________________________________

5. Payment

Remittance
Account holder's name : Euro-Japan Handel
Bank Name : Sparkasse Hannover
IBAN : DE52 2505 0180 0900 0807 89
Account number : 900080789
Credit Card
  VISA Master AMEX JCB
  Card No. _ _ _ _ _ _ _ _ __ _ _ _ _ _ _
  valid untill _____ / _____
  Card holder _________________________________
  Date of Order ___________________________________

  Signature __________________________________