Order form

Fill the following form. We will contact you after receiving the order.

Contact details

Name and surname *

Company *

NIP

Address

Phone number *

E-mail address *

Order details

ID number	Quantity

ID number	Quantity

Additional details

Comments to the order

I consent to the processing of personal data by P.H.M. POLCOMM Dariusz Kozak in order to answer the reports contained in the contact form. Providing the data is voluntary, however, the lack of consent prevents us from contact. The rules for processing personal data can be found here.