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BIM Textil Mietservice
Betriebshygiene GmbH
Auf der Höhe 4-6
99834 Gerstungen
Tel.: +49 36922 237-0
Fax: +49 36922 237-32
info@bim.eu
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cancellation

customer data
customer:*
customer /business order number(1):*
contact person (for further questions):*

contact details
phone:*
fax:
e-mail:

wearer
I’d like to sign off the folllowing employee:  
first name:*
last name:*
personnel number:*
point of delivery:*

item:
trousers:
overall:
accessory:
skirt:
blouse:
coat:
jacket:
apron:
vest:
chemise:

other
other:
deregistration from:*


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