ONLINE FORM

To complete this form online, codes and product descriptions are available on the website simmcada.Any order submitted is verified and confirmed by us in his care.

To send this form:

– Direct sending mail using the button “send mail” at the bottom of this page

Submission date: *

Number if you are already a customer:

General informations:

Lastname: *

Name: *

E-mail: *

Phone number:

Company:

Faites un choix: *
Order
Submission
Informations

Order address:

Address 1:

Address 2:

Zip code: *

Delivery address:

Address 1:

Address 2:

Zip code: *

Informations about the order

Product's code

Description of the product

Quantity

+Add a product

Method of payment (First order):*
Payement by C.O.D
By (check or Visa) on receipt of the product

Comments: