POLIX sp. z o.o. KRS 0000020332 phone/fax +48 58 6818484
ul. Koscierska Tax No. PL-5890008480 fax +48 58 6849197
83-330 Zukowo Poland REGON 190255008 www.polix.com.pl
Bank PKO BP SA 06 1020 1866 0000 1102 0001 4654
info@polix.com.pl

By filling in the following form you can order free samples of our products (length will not exceed 20cm, as shown on the pictures), catalogue of products, price-lists. We kindly ask you to provide correct phone number, so our employee can contact you to confirm mailing address.

1. Address data:
First name, last name:*
Company:*
Street:*
ZIP code:*
City:*
Country:*
Area code and phone #:*
Area code and fax #: 
e-mail:*
* = required fields

3. I would like to receive:
Catalogue of products
Samples of products
Promotion leaflets
Price-lists
General export policy
2. I'm interested in:
Garden hoses and hoses for plant protection agents
Conduits and extension conduits for compressed air
Technical gases conduits (propane-butane, acetylene, oxygen)
Hoses for petrol and oils (one-layer and reinforced)
All-purpose technical conduits (one-layer and reinforced)
Water supply and drain hoses for washing machines and dishwashers
Individually packed hoses, in short lenghts
High-pressure technical conduits

4. Other:

All requested materials will be sent within 3 working days from the date of confirmation.