Order form for Retrofit magazine - BELGISCH INSTITUUT VOOR VERLICHTINGSKUNDE

Please use this form to order this magazine

Company Name*
Contact*
First Last
Email*
Phone number
I would like to order the pdf file Richtlijn voor verlichting van de Thuiswerkplek in Dutch*
Please select the number of magazines required.
If > 5 pieces, please fill out the number of magazines required in Dutch
As from 5 pieces, please mention the number of magazines required
I am a member of IBE-BIV
- Yes (price = 30 euro excl VAT)
- No (price = 45 euro excl VAT)
Invoicing address details*
Street Address Address Line 2 City ZIP / Postal Code Country

Provide full invoicing address
Reference or Purchase Order number (if required)*
Invoicing e-mail address*
VAT number*
Shipment address (if different from the above)
Street Address Address Line 2 City ZIP / Postal Code
In case you would have questions or remarks, please let us know