RUS ENG

   
 
 
   
 

Questionnaire

Questionnaire

Fields with  *  are to be fiiled in.

Customer data
Country:
Region:
City, locality:
Address:
Organization: *
tel: *
fax:
Contact person: *
Heat productivity:
Heating: mV Gcal/h
Hot water supply: mV Gcal/h
Total: mV Gcal/h
Max. carrier pressure: mPa kgs/m
 Chemical water preparing plant: yes
Hot water supply
(for additional price):
yes
Fuel type:
Max. Teperature of heat carrier, °C:
Maximum height of the heated building,m:
Special demands: