I would like to borrow the following item:
1 regeneration plate2 pcs regeneration plateVital field transformerBrightWater Alive water device

For the rental we need your data (fields marked with * are mandatory).
Full name*

Street and house number*

Zip code and town *

Telephone number*

E-mail address*

Consent to data protection
I agree that the personal data I have provided will be stored and processed.

By clicking on "Send" you will receive a copy of your submitted data to the specified e-mail address. A corresponding rental contract will be prepared with your data.
Bitte lasse dieses Feld leer.