Request form for product

Salutation *
MsMr

First Name *

Last Name *

Company Name *

Position *

Street *

Post Code *

City *

Phone *

E-Mail *

Subject:

Message

With my request I agree that my data will be stored and that Alphasol Tec AG contacts me for information purposes. I can revoke the storage of my data at any time.

I have read and agree to the privacy policy.

With your inquiry you set us a task which we would like to fulfil to your satisfaction. The data collected in this context is stored. In order to process your request satisfactorily it is necessary to fill in all available fields (only fields marked with * are mandatory) We use your data to process your request as part of the business process. Personal data will not be treated. In particular, we do not pass on any data to third parties. We reserve the right to statistically evaluate anonymous data records.