IT Mobile support

Service order

Your signs

Date:	Sunday, 5 February 2012 15:17
Company name:	A value is mandatory*
Address:
ZIP code:
City:	A value is mandatory*
Telephone number:
Fax number:
E-mail:	A value is mandatory. Not a valid e-mail.*
Contact person:

Installation adddress
(note. he assembler can only work at a dry, heated and well lighted place)

Address:
City:
Contact person:
Telephone number:

Vehicles and order:

License plate	Brand	Model/year	Specification of needed service

Preferred date/time¹:

Date:
Time:

You need to agree. Please select.. I agree with the general conditions

Al our deliveries and services take place under the general conditions of the Federation of Dutch Companies in the Information Technology FENIT, which are deposited at the Clerk of the District’s Court of Justice at The Hague, number 1994/189. At your request we will send you an example.

1 This date will not guarantee the service takes place at this date. Take into account a delivery time of 1 till 2 weeks between giving the order and the date of service.