appointment form

Your personal information

Mrs

First name *

Last name *

Street name *

House number *

Postal code *

Location *

Country

phone number *

e-mail address *

When can you be reached by phone best? *

In which products are you interested in? *

Do you have specific requests regarding the style or material?

Notes

Budget *

When should your new furniture be delivered? *

Mo. - Fr.:	10:00 bis 19:00 Uhr
Sa.:	10:00 bis 18:00 Uhr

Mo. - Fr.:	10:00 bis 19:00 Uhr
Sa.:	10:00 bis 18:00 Uhr