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Information       Online order       Project enquiry       Customer satisfaction  

ONLINE ORDER

Client
Company  
Address  
Postcode  
Town/City  
Country  
Form of address  
Title  
First name  
Surname  
Department/Position  
Telephone  
Fax  
E-mail  
Order number/cost centre  

Assignment location
Company  
Address  
Postcode  
Town/City  
Country  
Contact
Form of address  
Title  
First name  
Surname  
Department/Position  
Building/Bay  
Telephone  
Fax  
E-mail  

Assignment details
Project description 
Contract commences/ends** 

Staff qualification/number
1.
Number  
Qualification  
Assignment period  
2.
Number  
Qualification  
Assignment period  
3.
Number  
Qualification  
Assignment period  

Assignment description
1.
Article number  
Article description  
Safety part    
Number required**  
2.
Article number  
Article description  
Safety part    
Number required**  
3.
Article number  
Article description  
Safety part    
Number required**  
4.
Article number  
Article description  
Safety part    
Number required**  
Inspection instructions 
Health and safety requirements  
Necessary aids 
Additional remarks 

Documentation
Please send:
Daily reports    
A final report    
Language  
By
E-mail    
Fax    
Post    

Orderer
Order date  
Signed  

The bold sections are compulsory sections. Please complete these sections so that we can send our staff to the assignment location as soon as possible. We will naturally treat your data as confidential and use them only to send you the desired information. Your data will not be passed on to any third party.
The sections marked with asterisks (**) referring to contract time and number required are sections for which you may not have the necessary information in advance. Please note that the service contract remains valid until cancelled by the client. Please also note that any waiting time which may arise in the provision of material will also be invoiced.
Conditions read and accepted    
By ticking this box, you confirm that you have read and accepted our General Terms and Conditions.




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+49 / (0)1805 /
10 15 55
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