Request for Offer

Technical Data
Industrial    STAGE V     Marine    Rent   
* Power PRP [kVA]
* Rental Start Date
* Rental End Date
Destination
Service (vedi nota A)
  Emergency Service
  Working hours Service
  Continuous Service
Diesel (vedi nota B)
  Diesel excluded
  Diesel included
Cables (vedi nota C)
  Cables excluded
  Cables included
Personal Details
* Company
* Full name
* Address
* Post Code
* City
Country
* Telephone
Fax
* E-Mail

[ Nota A ]
Emergency Service: Start in the case of emergency
Working hours Service: Max. 8 hours per day
Continuous Service: 24 hours

[ Nota B ]
Diesel excluded: The Generating Set must picked-up and delivered with the same fuel level
Diesel included: Fuel and Maintenance included

[ Nota C ]
Cables excluded: Cables will be supplied by the customer, the connection is up to the supplier
Cables included: Cables and connection will be up to the supplier

Personal Information *

After having read the act of INFORMATION AND REQUEST FOR CONSENT

  I agree to the processing of my personal data for COMMERCILA PURPOSE.
  I disagree to the processing of my personal data for COMMERCILA PURPOSE.

  I agree to the processing of my personal data for promotional and / or advertising purpose.
  I disagree to the processing of my personal data for promotional and / or advertising purpose.

Fields with asterisk are mandatory

Notes
Attachment