Tanker / SILU Product Registrations

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PARTNER INFORMATION
Company*
Salutation
First Name*
Last Name*
Is partner also installer? If no, please fill in next three fields*
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Installer Company
Installer First Name
Installer Last Name
PRODUCT RELATED REGISTRATION DATA
Registration for End Customer:*
First Name End Customer*
Last Name End Customer*
E-Mail End Customer*
Phone
Street
No.
ZIP
City
PRODUCT INFORMATION
Aggregate/Model (e.g. CG600 Light):*
Aggregate Number*
Serial No Compressor*
Installation Date*
Date of first start-up
V-belt length
Pulley size
TRUCK DATA
Truck make (e.g. MAN):*
Truck Type/Model (e.g. TGS 18.440)*
Wheel base in mm
License Plate
Mileage/km
PTO Type
PTO Ratio
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