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Sample request

Name customer *

Customer number *

Mr.
Mrs.
Rather not say

Name and surname *

Email *

GSM

Name account manager Schietse *

Frank Smet
Cédric Pichereau
Robin Van den Borre
Jean-Christophe Delvaux
Others

Number of samples

1
Multiple

Description article *

Article number

Samples numbers + description items *

Example: 865000 - serranoham deboned, 647195 - chicken filet

Submission date *//

Delivery sample

With representative
With next order
Pick up at cash and carry

Additional comments

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info@schietse.com
+32 2 481 71 00
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