ORDERING FORM PRICE REQUEST FRAME 25 MADE TO MEASURE LIGHT ELEMENT 44756.1, 44756.2 COPY BEFORE FILLING IN tick the appropriate, respectively give the dimensions X 25 Light element horizontal for mirror IP44 maximum width (X) = 2000 mm available in 50 mm sections delivery time: 3 weeks measure X: . . . . . . . . . . . . . . mm order no. 44756.1– without switch order no. 44756.2 – with sensor switch integreated in the mirror aluminium frame (bottom side) quantity: . . . . . . . . . . . . . . . . piece(s) price: . . . . . . . . . . . . . . . . . . piece(s) Oversizes and custom products on request. OBJECT: ARTICLE-NR: INSTALLER: DISTRIBUTER: DATE: SIGNATURE: 52