Order Form

Polybutene Order Form

COMPANY INFORMATION

Organisation:

Contact Person:

Email:

Phone:

VAT Number:

ORDER INFORMATION

Purchase Order Number:

Polybutene Grade:
(please press Ctrl to select multiple options)

Requested Delivery Date:

Delivery Address:

City:

Postcode:

Country:

Quantity in kilos:

Packaging:
Drums Bulk

Special Instructions:

** Please note, the order form is subject to availability and confirmation.

KEMAT Belgium will not share your details with any third parties.