Bedrijf (Verplicht)

Naam en achternaam (Verplicht)

Klanten email (Verplicht)

Volledig adres (Verplicht)

Postcode (Verplicht)

Stad (Verplicht)

Land (Verplicht)

Telefoon (Verplicht)

VAT (Verplicht)

Worky Quad Model (Verplicht, geef het exacte model, HP-vermogen)

Serienummer (Verplicht)

Aankoopdatum (Verplicht)

Urentellergegevens op het moment van aankoop (Verplicht)

Handelaar / stad / land (Verplicht)

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