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1. Customer group
Customer group:
--Please select a customer group--
Private customers
Business customers
2. Request
Reason:
--Please select a reason--
Product advice, availability
Order status
Registration/Customer account
Invoices, reminders, credit notes, receipts etc.
Incomplete delivery, wrong delivery, returns
Other
Description:
Select files
Select files
3. Contact details
Contact type :
Private person
Company
Company:
*
Department:
First Name:
*
Last Name:
*
Street:
*
Number:
*
ZIP:
*
Town:
*
P.O.Box:
Country:
*
Australia
Austria
Belgium
China
Denmark
Finland
France
Germany
Greece
Hungary
Iceland
India
Ireland
Italy
Japan
Korea, Republic (South Korea)
Latvia
Lithuania
Luxembourg
Monaco
Netherlands
Norway
Poland
Portugal
Principality of Liechtenstein
Russia
Saudi Arabia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Turkey
Ukraine
United Kingdom
Phone:
*
Email:
*
I have read, understood and accepted the
GTCs
as well as the
Data Protection Declaration
. *
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