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[" "]
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[null,null,null,null,"Bitte vollständig und leserlich ausfüllen und"]
[null,null,null,null,"per Mail an:","bestellung@lphv.de"]
[null,null,null,null,"per Fax an:"," +49(0)2941/2808-80"]
[]
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["Absender",null,null,null,"Lieferanschrift"]
["Firma:",null,null,null,"Firma:"]
["Ansprechpartner:",null,null,null,"Ansprechpartner:"]
["Straße:",null,null,null,"Straße:"]
["PLZ/Ort:",null,null,null,"PLZ/Ort:"]
["Telefon:",null,null,null,"Telefon:"]
["Fax:",null,null," "]
["Kundennummer:"]
["E-Mail:"]
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[null,null,null,null,null,null,"Früh (bis 9:00)"]
["Wunschlieferdatum:",null,null,null,"Wunschlieferzeit",null,"Mittag (bis 12:00)"]
[null,null,null,null,null,null,"Spät (bis 17:00)"]
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["Wir bestellen unter Anerkennung Ihrer Verkaufs-, Liefer- und Zahlungsbedingungen"]
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["Art.-Nr.","Artikelbezeichnung",null,"Menge","Größe","Einzelpreis","Gesamtpreis"]
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["Ort, Datum",null,null,"Unterschrift",null,null,"Firmenstempel"]