Needs assessment

Needs assessment form

This form is primarily intended for companies, with the aim of assessing exactly how many and what type of xoda water dispensers they may need. But if you're looking for a dispenser for your own kitchen, we're happy to help you with that too!

Please fill in the fields. We will prepare our offer and contact you shortly.
office@xoda-water.com

Cégnév / Company name

Lokáció / Location

A kapcsolattartó neve / Contact name *Please fill the required field.

E-mail cím / E-mail address *Please fill the required field.

Hány fő dolgozik a cégnél? / How many people in the company?

A telepítési helyszínek száma? / Number of installation sites?

Hány darab szabadonálló adagoló? / Number of free standing dispensers?

Hány darab asztali készülék? / Number of table top dispensers?

Az üzembehelyezés tervezett határideje? / Planned deadline of commissioning?

Vásárlás, vagy bérleti konstrukció? / Purchase or rental arrangement?

Egyéb fontos információ / Other information

I agree with the Privacy policy . By sending this message, I authorise Swiss Electronic Ltd. to use the information contained in the form. Swiss Electronic Ltd. will not pass on any information to third parties!

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