Request Form

In case you prefer paper, please download the formular here to print, fill out and send it manually to us.

Request Form
Of course all your data will be handled according to DSVGO.
Your personal details:
Salutation*
You wish:
to be contacted
to receive an offer**

(Please answer the questions below)

Your message for us:
**Your request, including data on your project:
Medium:
Inner pipe:
Steel-cased pipe-in-pipe:
External insulation:
Heat protection insulation:
Material:
Temperature:
Design temperature RL = VL
(necessary to evaluate transport costs)
Route plan/Site plan/Vertical alignment "Size of the route to be measured from the outer edge of the building or chamber. Please indicate the wall thickness of the buildings/chambers, the delivery limit for FW STEEL-CASED PIPE-IN-PIPES and high and low points."
Other remarks/information:
Please send the offer to a different address/person:
* = Mandatory data fields
** = Data needed to specify an offer