We kindly ask to fulfil the enclosed information request sheet in each part, in order to allow our service department to answer properly and efficiently.

	COUNTRY *
	COMPANY NAME *
	Address *
	Telephone *
	Fax *
	E-mail Address *
	Contact person - Mr/Mrs *
	Function *
	Telephone
	Fax
	E-mail Address
	Mobile
COMPANY INFORMATION
	Sector of activity *
	Annual turnover
	Total emploiees
	of which
	Commercial
	Administration
	Workshop
	Field technicians
	Major references
	Insert customer names...
	Country subsidiaries or country local technicians
	Insert areas...
	Addicalco products of interest *

All information’s and data we will receive, will be treated according to international and local law regulations regarding privacy.