Maggi Controls Group

Online Order

Fill the following Form in all fields and send it to our sales department

(sales conditions)

(the following order has a purely indicative value, a direct contact will follow and the relative order confirmation will be sent.)

(Law 675/96 : Maggi Coniature s.r.l. will treat the supplied data for their activity including communication, information and promotion. You can oppose to their use anytime, writing to Maggi Coniature s.r.l. )

(*) obligatory fields

Name *		enter name

Surname *		enter Surname

Company *		enter company name

Sector *		enter your sector (gaming,vending.others)

Vat number *		enter vat number

Sector description		should you enter “other”, enter an additonal description

Address *		enter street and civic number

Town/City *		enter town/city

Zip code		enter Zip code

Province		enter province

Country		enter country

Telephone *		enter telephone number

Fax		enter fax number

E-mail *		enter your own e-mail

Item 1 *		enter item name

Quantity art.1 *		enter required quantity

Additional description Item 1		enter additional description Item 1

Item 2		enter item name

Quantity art.2		enter required quantity

Additional description Item 2		enter additional description Item 2

Item 3		enter item name

Quantity art.3		enter required quantity

Additional description Item 3		enter additional description Item 3

Notes		enter possible notes relating to the order

	Insert security code