Order form

Please use this form to place your order. We will discuss and confirm the price and delivery date with you by telephone.

YOUR PARTICULARS
Name		*
Company		*
Address		*
City		*
Telephone		*
E-mail		*
Fields with indicated with * must be filled in before your order can be processed.

Payments must be received within 14 days after the invoice date.

DELIVERY DATE

Please fill in the desired delivery date below.
We will contact you by telephone to confirm your order.

OUR DETAILS
EkoShii-take.com
Merseloseweg 13
5825 HB Overloon
The Netherlands
Telephone 0031 (0)6 20491785
Fax 0031 (0)6 20491785
shiitake@xs4all.nl

SKAL nr: 024840
Company number 024840
Certificate number 703281701