Operation Manual
PRIMO-
FP6
5
ANTWOORDKAART/KARTE DE REPONSE/ANTWORTKARTE
NAAM
NOM ............................................................................................................................
NAME
ADRES
ADRESSE ...................................................................................................................
ADRES
POSTCODE PLAATS
CODE POSTAL .......................... LOCALITE ........................................................
POSTKODE WOHNORT
TEL : .....................................................................
DEFECT :
DEFAUT :
DEFEKT :
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................