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First Name contact person
*
Last Name contact person
*
Company name
*
Email
*
Phone number
*
Does your company have SLA (service level agreement)-contract with BIS?
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Yes
No
Contract reference
Intervention address
Company address
*
Building name/number
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Number of rooms affected
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If known, name or number affected meetingroom(s)?
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Directions to room
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Parking available (min 2.00 height)?
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Yes
No
Contact name on site (during intervention)
*
Phone number contact on site
*
Issue
*
If possible: Brand name/Type number/Serial number
Your preferred dates of intervention: (room must be available)
Month
/
Day
/
Year
Month
/
Day
/
Year
Month
/
Day
/
Year
Upload a picture of the issue, serial number and situation if possible
Document upload
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