Price request

Request type

Interest

Company

VAT ID (only for non EU countries)

First name (mandatory field)

Last name (mandatory field)

Street (mandatory field)

Postcode (mandatory field)

Place (mandatory field)

Country (mandatory field)

Phone

Mobile

Fax

E-mail (mandatory field)

Message (mandatory field)

I hereby consent to my data being collected, processed and used by Brugger GmbH Magnetsysteme for the purpose of contacting me by e-mail or post. The data will be stored for an indefinite period. This consent can be revoked at any time. I have read and accept the data protection regulations of Brugger GmbH Magnetsysteme.