Factory :                    

Address :                    

City :                    

State :                    

Postal code :                    

Phone number :                    

Fax :                    

E-mail :                    

Specify The price-list You want to receive :

                                -       general price-list 

                                -       pumps price-list

                                -       dolls price-list

                                -       bags & confections price-list

Specify how You want to receive the price-list :

                                -       by post

                                -       by e-mail     

                                -       by fax

If You have choosen to receive it/them by e-mail specify the file format :

                                -       ZIP format

                                -       Microsoft Word format

                                -     TXT format