Please, fill in all data correctly and you will receive our offer within the next two days. You may be contacted by our employees in order to clarify some details if necessary – we want to make sure that our proposal is accurate and proper.

Fields marked with a star (*) are obligatory.

All data submitted in this questionnaire is review in full confidentiality and in compliance with the law for personal data protection.

Organization profile
Organization name: *
ID number (Bulstat): *
VAT id number:
Address (registration): *
Head office address (if different):
Site address (if different):
If the company is part of a group or other structure, please specify::
MD/Chief Executive Officer/General Manager: *
Contact person: *
Position of contact person: *
Phone: *
Mobile:
Fax:
E-mail: *
Other remarks (if necessary):
Desired Certification/ Service: *
Sample taking / sampling
Testing
Calibration
Others:
Scope of sampling/testing/calibration/ Products/ measurement devices:
Please provide details about the type of products /measuring devices: *
Please give the indicators and the limit values for testing / calibration: *
Number of employees: *
Work language (for the testing/protocols):
Do you have a certified management system and if “YES” please provide details:

Additional information (if any):
How did you hear about EuroBul Lovico?
Customers	Partners
Media/Internet	Others:
Please state the name of the person/s who recommended to you EuroBul Lovico:

Send Clear