Order Form – Stoves / Fireplace Inserts - Max Blank

Your Order – Trade Only

Please fill in all required fields marked with *

Product Type*
Model Name*
Version (paint color, stone, ceramic, door hinge, etc.)*
Quantity*
Commission
External Air Connection*
Flue Outlet*
Desired Delivery Date*
If a preferred date was selected, please enter it here:
Delivery Address*

Street*
Postal Code*
City*
Country*
Mobile number or email address for delivery notice*

Email Address*
Company Name*
Customer Number (optional)
Phone Number
Accessories (pellet system insert, hearth plate, flue pipes, etc.)
Your Message
Attachment (e.g. plan or sketch)

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By submitting this form, you place a binding order and accept our General Terms and Conditions (GTC). You will receive an official order confirmation afterwards in any case. Legal Notice.*