Battery request

Personal data, given us by using the battery request form, is only used for answering your request. For more information, please read our privacy policy.

Company*

Contact Person*

Street*

Street number*

Postal Code*

City*

Phone*

Fax

E-mail*

Web

Voltage

Tray number

Tray measure

length in cm

wight in cm

height in cm

weight in kg according to label

EUW

Aquamatik

Connector type

Vehicle manufacturer according to label

Vehicle type according to label

Lifting equipment (second forklift, crane, ...) for changing battery

Special requests

*Mandatory fields