Before filling out the form please read informations below


- Required fields are marked with red *star*.
- Please give us real and active E-Mail adress, it will be needed for order confirmation.
- Please don't forget about adding unit size of ordered quantity of road salt, for instance "300kg" or "2t"



Order form

*Name:
*Surname:
*Corporation:
  Adress:
  NIP:

*Phone:
*E-Mail:

*Salt quantity:
    Bag size:
*Type of delivery:
Receipt from the store Delivery to adress
*Delivery time:
Day:    Month:    Year:

Additional informations: