REQUEST FOR SPECIFIC SAMPLE PRODUCT(S)
Product group cut flowers: Product group indoor and garden plants:

 

Product : Product :
Price class : Price class :
Desired number of stems : Pot size :
    Height :
    Diameter :
Other specifications/
description :
Other specifications/
description :
Remarks : Remarks :
Delivery address for sample :
Desired time of delivery :
Department / contact person for delivery :
Telephone number :
Fax number :
for Company / Organization :
for Department / Contact person:
Telephone :
Fax :
E-mail :