request recycler / reclaimer

Your Name

Your company

Street/No.

ZIP/Town

country

E-Mail

Phone

which recycler/reclaimer is interested for you?

YOU WANT OPTIONS?

winter package?

YES with concrete pump cleaning table / hydaulically tilt table

NO without concrete pump cleaning table / hydaulically tilt table

concrete pump cleaning table?

YES with winter package

NO without winter package

central lubrication?

YES with central lubrication

NO without central lubrication

assembly/commisioning?

with/include assembly/commissioning

without any assembly/commissioning

Transport/Delivery

Yes with delivery

No without delivery

If you want delivery, please enter here the delivery address

any more infos for us?

On reason of the "data protection regulation" (DSGVO), which is enter in on force on 25.05.2018, we are obligate to document, that you are agree that we store your personal data. That we can ensure for a smooth implementation of the projects or business in the future, we think is it in mutual benefits, to store your data. So, we will also send you in the future, info’s, special offers, technical and general novelties, if you are agreed, on this reason we ask for your confirmation that we can store your personal data and that you allow that we can data processing according the mentioned above manner. store and processing of the personal data *

processing of privacy data

Yes, i agree to store and processing of my privacy data

No, I not agree to store and processing of my privacy data

With the click on the “send Button” you CONFIRM IN FOLLOW THAT YOU HAVE READ, UNDERSTAND AND RECOGNIZE THE VALID OF THE PRIVACY STATEMENT (Es gilt die Datenschutzerklärung = privacy statement is valid)

Es gilt die Datenschutzerklärung.

Hinweis: Bitte die mit * gekennzeichneten Felder ausfüllen.