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First Name *

Last Name *

Sender Email *

Phone *

Street Address *

Apartment, suite, etc

Zip Code *0 / 4

City *

First Name *

Last Name *

Receiver Email *

Phone *

Street Address *

Apartment, suite, etc

Zip Code *0 / 4

City *

Preferred date 1 *

Preferred date 2 *

Package SizeLetterSmall boxLarge box

Package Wieght0 - 0.5 Kg0.5 - 2 Kg2 Kg - 10 Kg

Purchase Envelope *Buy EnvelopeI have mine

Purchase small box *Buy small boxI have my box

Purchase large box *Buy large boxI have my box

Preferred method of paymentDebit/ Credit CardCash

Price

DKK

Sender Data

{name-1-first-name} {name-2-last-name}
{email-1}
{phone-1}
{address-1-street_address} {address-1-address_line}, {text-1}, {text-2}

Receiver Data

{name-3-first-name} {name-4-last-name}
{email-2}
{phone-2}
{address-4-street_address} {address-4-address_line}, {text-3}, {text-4}

Selected Dates

{date-1}
{date-2}

Package Info

{radio-1} {radio-2} {radio-4} {radio-5} {radio-6}
{calculation-1}
{radio-3}

I confirm that all the provided data is correct.

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