Schubert Wines - Order Form
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First Name/Vorname/Prénom/nombre *
Last Name/Nachname/Nom de famille/apellido *
Company/Firma/Entreprise/emprensa
Address 1/Postanschrift 1/Adresse postale 1/dirección postal 1 *
Address 2/Postanschrift 2/Adresse postale 2/dirección postal 2
Town/City/Ort/Ville/ciudad *
Zip Code/PLZ/Code postal/código postal
Country/Land/Pays/país *
Email address/Email Adresse/Émail adresse/Direccion email *
Telephone/Telefon/Téléphone/teléfono *
Older than 18 years/Ӓlter als 18 Jahre/Plus de 18 ans/mayores de 18 años
Comments/Kommentare/Commentaires/Comentario
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