NRGkick Order Form

"*" indicates required fields

Welcome to the NRGkick Fleet Pack order page!

Find out below what is included in the NRGkick Fleet Pack.

INCLUDED: wifi+sim 32A standard cable / smart attachment type E+F shuko 13A (EU) / 3-pin 32A adapter / NRGkick carrying case

Customer details*

First name Last name

Email*

Tel. n°*

Company / billing address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address for billing*

VAT number*

Personal order reference*

This is a freely selectable personal reference such as an order number, the date of order, etc. for possible retrieval of the order afterwards in case of questions.

5 m cable

FLEET PACK 5 m cable*

Please select “None” if you do not want to order a 5 m cable FLEET PACK.

Quantity(s) 5 m cable Fleet Pack(s)*

Shipping address FLEET PACK(s) 5 m cable

Shipment to company (leave blank if identical to Company / billing address as listed above)

Dispatch to individual user(s)

Shipping address of the company

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping address USER 1

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 1 to receive Fleet Pack user information*

Shipping address USER 2

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 2 to receive Fleet Pack user information*

Shipping address USER 3

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 3 to receive Fleet Pack user information*

Shipping address USER 4

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 4 to receive Fleet Pack user information*

Shipping address USER 5

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 5 to receive Fleet Pack user information*

Shipping address USER 6

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 6 to receive Fleet Pack user information*

Shipping address USER 7

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 7 to receive Fleet Pack user information*

Shipping address USER 8

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 8 to receive Fleet Pack user information*

Shipping address USER 9

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 9 to receive Fleet Pack user information*

Shipping address USER 10

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 10 to receive Fleet Pack user information*

7.5 m cable

FLEET PACK 7.5 m cable*

Please select “None” if you do not want to order 7.5 m cable FLEET PACK.

Quantity(s) 7.5 m cable Fleet Pack(s)*

Shipping address FLEET PACK(s) 7.5 m cable

Shipment to company (leave blank if identical to Company / billing address as listed above)

Dispatch to individual user(s)

Shipping address of the company

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping address USER 1

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 1 to receive Fleet Pack user information*

Shipping address USER 2

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 2 to receive Fleet Pack user information*

Shipping address USER 3

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 3 to receive Fleet Pack user information*

Shipping address USER 4

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 4 to receive Fleet Pack user information*

Shipping address USER 5

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 5 to receive Fleet Pack user information*

Shipping address USER 6

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 6 to receive Fleet Pack user information*

Shipping address USER 7

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 7 to receive Fleet Pack user information*

Shipping address USER 8

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 8 to receive Fleet Pack user information*

Shipping address USER 9

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 9 to receive Fleet Pack user information*

Shipping address USER 10

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 10 to receive Fleet Pack user information*

10 m cable

FLEET PACK 10 m cable*

Please select “None” if you do not want to order 7.5 m cable FLEET PACK.

Quantity(s) 10 m cable Fleet Pack(s)*

Shipping address FLEET PACK(s) 10 m cable

Shipment to company (leave blank if identical to Company / billing address as listed above)

Dispatch to individual user(s)

Shipping address of the company

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping address USER 1

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 1 to receive Fleet Pack user information*

Shipping address USER 2

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 2 to receive Fleet Pack user information*

Shipping address USER 3

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 3 to receive Fleet Pack user information*

Shipping address USER 4

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 4 to receive Fleet Pack user information*

Shipping address USER 5

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 5 to receive Fleet Pack user information*

Shipping address USER 6

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 6 to receive Fleet Pack user information*

Shipping address USER 7

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 7 to receive Fleet Pack user information*

Shipping address USER 8

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 8 to receive Fleet Pack user information*

Shipping address USER 9

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 9 to receive Fleet Pack user information*

Shipping address USER 10

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email address of USER 10 to receive Fleet Pack user information*

Total cost

Total Cost:

Price: 0,00 €

Excluding shipping costs: up to 3 cables (€15); 4-6 cables (€30); 7-10 cables (€45)

Please indicate if you would like to add a free optional Mobiflow charging card for each user:*

Yes

Comment(s)