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Radio Integral - Zahtev

Equipment ordering form

Field mark with * is required!

Client

Company name or name of the person: *

Email: *

Address: *

City: *

Zip: *

Telephone: *

VAT (company) or PIN (person) : *

Message:

Event

Event Name : *

Event Location: *

Start Date : *

End Date : *

Required Equipment (See Equipment)

* type in the box the number of required devices

Hand-held Radio:

Mobile Radio :

Repeater Station :

HF Headset "Security" :

HF Headset "Madona" :

HF Headset "Security - professional" :

Headphones:

Two-way microphone "Police" :

Megaphone :

An Expert

Yes No

Terms of Payment and Delivery

Taking Over and Returning Equipment *

Method of payment *

The payment s deadline *

Responsible Person

Name and Surname: *

Address: *

City: *

Zip: *

Telephone: *

VAT (company) or PIN (person) *

Additional informations: