Order form cleaning consumables Thank you in the interest of the cleaning consumables. Complete the form below and we will arrange the order asap. Check the correct box for if you are a new client or an existing client. * New client Existing client New clients, please fill in all the fields below. Existing clients, please fill in those fields identified with a * Company name / client number (K-....) * Contact name * Phone number * E-mail address * Reference / PO number * Billing address Zip code City - Country Att. VAT number (for European companies only; otherwise we are obliged to charge VAT) E-mail address (we will send the invoice to this address) Delivery address (if different from billing address) Zip code City - Country Att. ASSORTMENT OF NAUTICAL CLEANING CONSUMABLES Quantity Consumables 21.0506 Esthec Scubber – complete kit - € 410,- 21.0507 Esthec Scrubber – hand unit kit - € 270,- 21.0508 Esthec Scrubber – red pad (10 pcs) 21.0508 Esthec Scrubber – white pad (10 pcs) 13.0425 Esthec Green Cleaner 2.0 – 1 liter - € 15,- (ca. 15 m2) 13.0426 Esthec Green Cleaner 2.0 – 5 liter - € 75,- (ca. 75 m2) 13.0427 Esthec Green Cleaner 2.0 – 10 liter - € 150,- (ca. 150 m2) Remarks ORDER NOW* We respect your privacy, we will handle your personal data with great care and we will not disclose your data to third parties. By clicking the "Submit" button, you agree to your personal data being collected and processed by Esthec. Our Privacy and Cookie Statement explains how we collect and process personal data.