Contactform for North-America

I am interested in your products and would like more information!
   

The fields marked * are obligatory entries, without which we cannot process your enquiry. (Data Security Advice)
     
Title   *
First Name   *
Last Name   *
Firm   *
Job title / department  
Street   *
Postcode/ town   *
Land   *
Telephone  
Fax  
E-Mail   *
Homepage  
     

What is your sector of business?
    *
     

Have you ever received documents from us in the past?
Yes No
     

Yes, please send me LUX ELEMENTS® - PROGRAMME in the following languages:
piece(s) D piece(s) F piece(s) NL
piece(s) GB piece(s) DK piece(s) N
piece(s) S    
     

Yes, please send me LUX ELEMENTS® - PRICELIST in the following languages:
piece(s) D piece(s) F piece(s) NL
piece(s) GB    
     

Yes, please send me the brochure LUX ELEMENTS® - bathroom design in the following languages:
piece(s) GB piece(s) F piece(s) NL
piece(s) S piece(s) NOR piece(s) DK
piece(s) ES piece(s) IT piece(s) GR
piece(s) RUS    
     

Yes, please send me the brochure "LUX ELEMENTS® - the basis. Working with hard foam support elements" in the following languages:
piece(s) D piece(s) F piece(s) NL
piece(s) GB piece(s) S piece(s) NOR
piece(s) FIN piece(s) ES  
     

In addition I should like to discuss with you:

Concern:
 
     
     

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If you have a problem to send the form above via email, please fax your communication to us. Our fax number is: +49 (0) 21 71 / 72 12 40.
LUX ELEMENTS on fairs

Please note the next fairs:

09.09 - 11.09.2008
Bouw Relatiedagen, Gorinchem, NL

14.10 - 16.10.2008
Bouw Relatiedagen, Hardenberg, NL

15.10 - 18.10.2008
Interbad, Stuttgart, D

more

Contact Adress

LUX ELEMENTS GmbH & CO KG
An der Schusterinsel 7

D - 51379 Leverkusen-Opladen

Telefon +49 (0) 21 71/ 72 12 - 0
Telefax +49 (0) 21 71/ 72 12 40