Dear Truck-Wash-Station owners,
We will register your Truck-Wash-Station in our Homepage. The registration
fee is €1,99 / Month (Minimum term: 1 Year). Please fill out this
form and click "send", or print the form and fax to 0041-91-864
2235.
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| Neu registration/ Data change (please be sure to fill "Company", "City"
and "Country") |
| Company: |
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| Street: |
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| ZIP: |
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City: |
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| Country: |
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| Tel.: |
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| FAX: |
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| Contact person: |
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| E-Mail-Address: |
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| Homepage: |
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| Directions: |
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| Opening hours: |
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Max. capacity of your
washer: |
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| Manufacturer of your washer: |
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| Wash material / Brush: |
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| Which wash-programm do you offer?: |
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| Price: |
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| Other information: |

etc....
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| How did you find this homepage? |
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| Comment: |
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to enter in the Truck-Wash register (€1,99 / Month, Minimum term: 1 Year)
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| Billing address |
as above
another |
| Company: |
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| Street: |
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| ZIP: |
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City: |
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| Country: |
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| E-Mail |
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