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Telephone 74 867 30 60

E-MAIL: POLGAZ@VP.PL
TEL. 74 867 30 60

Opening hours
7:00 - 17:00


Tel/Fax: 74 867 30 60
E-mail: polgaz@vp.pl


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Duplicate approval
LPG tank

Form


ul. Wyspiańskiego 40 C
57-300 Kłodzko


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Polski

English

Duplicate approval LPG tank



FORM
TANK DATA
*TANK NUMBER:
Field format: NR________
*DIAMETER/CAPACITY:
Field format: D_____/_____L
*PROD. DATE/EXPIRY DATE:
Field format: __.__/__.__
INVOICE DATA
* NAME / COMPANY NAME:
*ADDRESS:
*NIP:
*TEL:
SHIPPING INFORMATION (if different from invoice data)
NAME / COMPANY NAME:
ADDRESS:

I consent to the processing of my personal data by POLGAZ AUTO GAZ SYSTEM. I certify that I have been informed that, in accordance with Art. Paragraph 24. 1 Section 4 of the Act on Personal Data Protection provide my data is voluntary and that I have the right to inspect them, as well as the opportunity to correct them.




LPG INSTALLATIONS

Liquefied petroleum gas, also called LPG, GPL, LP Gas, liquid petroleum gas or simply propane or butane...


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