Spare parts request form

Company data
Company*
Surname
Name
Address
Town
Zip Code
Country
Telephone
Fax
E-mail*
Web Site
Type of machine
Type of machine (for which the spare-parts are demanded)*
Brand*
Model*
Year
Serial Number
Spare parts
Q.ty
Spare part description
Manufacturer code (article number)
Enter a file to attach to the request
Privacy
The personal data of individuals and other subjects is protected Under article 7 D. Lgs 196/2003. Collected data will be used, directly or also through third parties, exclusively for purposes relating to registration and statistical processing. The handling of data in paper or electronic formats will be carried out in a way which guarantees security and privacy.
Privacy*
- Agree

Company data