Ordering a catalog
 Zum deutschen Formular 

Please remember: German onlineshop at www.stein-dinse-shop.com)

Adress: Please fill out all bold printed lines!
Forename:
Surname:
Street:
Postcode:
City:
Country:
Email:
Phone:
Fax:
Motorbike:
Serial No.:
Registration date:
Custom No.:
Remark:

Credit card data (Only if neccessary):

Please give us your Credit card no. only if you order a catalog not free of charge or you live outside the European Union!

Name of credit card: 
Credit card no.: 
Expire Date:   

Please remember that sending the Credit card data by email could be a security risk! You can send us your credit card data with your adress included by fax at 0049 5373 9810-22.

We send our catalog inside of the european union for free to all driver of italian motorcycles when you declare the serial no. of your bike. Just fill out the formular and send it to us. Driver of bikes other manufacturers have to charge 5,- EUR for the catalog.
For orders to be shipped outside the european union, we have to charge 25,- EUR. Please pay the money by Credit card by entering your Credit card data and the date of expiration on the left or print this form aut and send it by fax to 0049 5373 9810-22.
If you have trouble with this formular, you can send your inquiry by a normal email.
Please allow us 20 days of delivery for sending your catalog by post.


Stein-Dinse Cataloges:


Brembo dealer catalog - only with dealer VAT no..
     Ust.ID-Nr:
      (The VAT no. will be checked before
      sending the catalog.)

The brembo catalog contains all products from brembo with pictures and tables/lists for using, not only for italian motorcycles.

Other: How do you recognize us?:


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(Please click just one time on the Submit button. It can take up to 1 minute to transfer the formular! You will see a confirmation after your inquiry is send.)


 
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