Orderform

Address

Gothenburg
EUP Industriservice AB
Kärrlyckegatan 24 B
418 78 Gothenburg
Sweden
Tel +46 (0) 31 535560
Fax +46 (0) 31 535574
E-mail:

Skovde
EUP Industriservice AB
Kärrlyckegatan 24 B
418 78 Gothenburg
Sweden
Tel +46 (0) 31 535560
Fax +46 (0) 31 535574
Mobil +46 (0) 768398880
E-mail:

Order Information

Location (at sight):*

Contact person on site: *

Telephone: (contact person): *

Part no (number): *

Part title (name): *

Problem description: Additional information:

Company information:

Company:*

Organisation number:*

Your name: *

Address: *

Postal address: *

City:*

Country:

Phone:

Fax:

E-mail: *

Payment Details

Currency (for the invoice): * SEK EUR Dollar

I accept the EUP's payment terms (30 days net). *

The information below is the same as Company information (Note: complete with VAT number)

Company Name:*

VAT ( tax ) nr: *

Address: *

Postal address:*

City:*

Country: *

Reference person: *

Phone: *

E-mail: *

Please note that fields marked with (*) are required

In accordance with the Data Protection Regulation GDPR, we would like to inform you about the following.
When submitting you agree that we will save your contact details to complete and / or terminate our commitments in your order. We will in no way share your information with unauthorized persons or others that are not related to our business.