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Order via moneybookers

Use this purchase order form if you pay with the money transfer service "moneybookers". 

  1. Please fill out the order form below and click on "Submit".
  2. A confirmation page  with your order number open. 
  3. Go to "moneybookers" and send your invoice amount to our email address: 
      order@dentasplash.de

    Please write your order number from the online confirmation in the form. 

The money will be handled very easy and avoids further expensive bank charges for the money transfer or dispatch of cheque. 

More information about moneybookers


First name*: Family name*:
Address*:
Zip code*: Place*:
State*:
Country*:
Phone.: Fax:
email*:
 

Price per piece: 19.95 USD
Additional expenses per  piece: 0.50 USD
Packing and forwarding expenses to the USA: 4.50 USD
Quantity:
Total price: USD

Fields, which marked with a * are required.


DentaSplash® - Gastner Dentalhygiene - info@dentasplash.de