Catalogue order form to be printed or copied and filled out
HELLER SA
Catalogue Service
B.P. 5
61160 TRUN FRANCE
Date :
Please send me the 2006 edition of the HELLER Catalogue at the following address:
Miss, Mrs. Mr
First name
Surname
Address
Postal code
City
Country
Please find enclosed a bank or post office cheque of 7.00 € made out to HELLER S.A.
Signature:
In accordance with the data protection act of 06/01/1978, you have the right to access and rectification of all information which concerns you. You may oppose the use of this information by writing to the address above.