ENAGIC ONLINE Product-Orderform

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Kangen Video Information - kangen-video.com

Dear Customer,

on this page you can type in your data, then preview and print out a completed order form. Click on "PREVIEW" at the bottom of this page.

Then please print out the order form and sign it.

InfoFor further processing send the form by scan / email to
info@kangen-video.com

Your order then will be checked, signed and processed by us.

 

• Payment by Credit Card:
The invoice total will be pulled from your credit card by ENAGIC®.

• Payment by Bank Transfer (Prepayment):
You wire the invoice total from your bank account to ENAGICs bank account on the lower left side of the order form (Commerzbank).

Delivery occurs usually within 1 to 3 workdays after payment from Düsseldorf / Germany or your respective local ENAGIC® office like Torrance, Los Angeles for North America or Nuevo Leon, Mexico for Mexico and South America.

Your invoice (VAT included) will be inside the parcel and comes with the machine.

If You have any further questions, please feel free to contact us within office ours (Mo - Fr 9 - 18h). Thank You very much.

 
Please fill out this order form and then click 'PREVIEW'
Date (dd mm yyyy)*
Salutation*
First Name*
Last Name*
Invoice Address:
Street*
ZIP*
City*
Country*
Shipping Address:
Name
Street
ZIP
City
Country
Contact Information:
Phone
Fax
Cell Phone
eMail-Address*
Tax-ID
Product*
Which model do You want to purchase?
Accessories
(please order with separate Supply Order Form. Please put in the amount of EURO. Use a dot (.) as decimal point, e.g. 22.50)
Shipping with additional supplies
... e.g. additional Citrusacid Powder, Electrolysis Enhancer or Brochures
Only Standard Shipping
Standard Shipping with additional supplies
Payment
complete payment
monthly payment
Payment Method
Shipping To*
Sales Tax %

Buy without German sales tax
ATTENTION: Only if you are tax-deductible and order from abroad!

Does not apply, if the machine is shipped to an address within Germany.

If you want to export the machine subsequently, you can get back the German tax from customs when leaving the European Union.

without German sales tax
Credit Card Payment:
Credit Card
Visa
MasterCard
Amex
Credit Card Number
CVV
Valid Until
 
How did You get to know about Kangen Water™?
Would you like to propose Kangen Water™ Ionizers without commitment to other people and be rewarded with a commission from Enagic™, or would you just like to enjoy the excellent properties of Kangen Water™?
 
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Please check your data before you print the document. Thank you.

(To protect against misuse your input data and your IP address will be transmitted and stored when you click "PREVIEW". This data is safe with us and will never be disclosed to third parties.)

This site is secured through 256-Bit-SSL-Encryption by GeoTrust QuickSSL Premium.

 

This is how the filled out order form looks like:

Produkt-Bestellformular-DE-Muster