Customer Data Sheet

    Dear Client!

    To provide you with the best possible support, we ask you to complete the following form.

    You can update this information as required at any time.

    Client Name (Required field)

    Billing Address (Required field)

    Delivery Address (Email) (Required field)

    Supplementary accounting information (company registration number, VAT number,..)

    Desired method of payment (bank transfer or direct debit), please tick:


    Telephone number and e-mail address of the contact person/Bereich



    Who is authorised to send support requests?

    Please state the name, telephone number and e-mail address of authorised person.




    Do support requests have to be authorised? If so, by whom?

    Please state name, telephone number and e-mail address of authorised person.

    Who is authorised to place which additional orders in accordance with the offer, e.g. additional telephone, screen, etc. and to what extent?

    Please state name, telephone number and e-mail address of authorised person.

    Preferred installation time slot

    (e.g. preferred calendar week, weekdays, times) - we are happy to take your wishes into consideration wherever possible

    Other comments and requests