CSPF - Mobiflow

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Charging Services Planning Form

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Email*

General terms and conditions*

I have read and accepted the general terms and conditions*

General terms and conditions

I have read and accepted the privacy policy*

Familiarity with Mobiflow software

Did you install Mobiflow software in the past?*

Yes

Installer details

Please fill in this information as correctly as possible

Company name*

Installer details

Please fill in this information as correctly as possible.

Company name*

VAT number

Optional

First name of the installer*

Surname of the installer*

Email address of the installer*

Phone number of the installer*

Scheduled date of installation

When is the installation expected to take place?

Date*

Type of customer

Is the installation part of several installations (on the company site and/or at the employees’ homes) for the  same company (fleet customer) or is the installation intended for a single customer (single buyer)? If you do not know the answer to the question or if you are not sure, choose ‘single buyer’.

Type of customer*

Single buyer details

Please fill in this information as correctly and completely as possible in order to offer the best possible onboarding  services to new customers.

Surname of the single buyer*

First name of the single buyer*

Email address of the single buyer*

Telephone number of the single buyer*

Company name (if applicable)

Fleet manager / general manager details

Please fill in this data of the person responsible for the fleet management as correctly and completely as possible in order to be able to offer the best possible onboarding services to new customers.

Name of the fleet company

Surname of the fleet manager / general manager

First name of the fleet manager / general manager

Email address of the fleet manager / general manager

Telephone number of the fleet manager / general manager

Size of the fleet (overall estimation of the number of cars in the fleet)

Number of employees employed by the fleet company (overall estimation)

End user details

Please fill in this information as correctly and completely as possible in order to offer the best possible onboarding services to new customers.

Surname of the end user*

First name of the end user*

Email address of the end user*

Telephone number of the end user*

Company name (if applicable)

Are you interested in taking a course for Mobiflow Certified Installers?

No, I’d rather not. Thanks.

Yes, I would like to check out the training dates on the Mobiflow website

Check dates on website

We are constantly striving to improve our processes and would therefore welcome your feedback on this form. We appreciate your comments and would like to thank you in advance:

Your message

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