***

| Url | https://www.euro-fencing.be/reparaturanfrage/ |
| --- | --- |
| MetaTitle | Reparaturanfrage - Unternehmen Euro-Fencing - Tore - Zäune - Gitter - Automatisierung |
| MetaDescription | Unternehmen Euro-Fencing. Vertrieb. Installationen. Metallkonstruktionen. Belqien (Eupen) |

# Reparaturanfrage

Sehr geehrte/r Besucher/in,

Bitte füllen Sie das folgende Formular so vollständig wie möglich aus. Wir bemühen uns, Ihre Anfrage innerhalb von 5 Arbeitstagen oder innerhalb der im Wartungsvertrag vereinbarten Frist zu beantworten.

<fieldset class="fieldpanel">
            <legend>Adresse des Projekts</legend>
            <div class="row">
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_NameOrCompany_pnlNameOrCompany" class="col-12 nameorcompany form-group required" data-item-key="NameOrCompany" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_NameOrCompany_txtNameOrCompany" id="C_T_DefaultRegion_M8045_Form_FormPanel1_NameOrCompany_lblNameOrCompany" title="Name des Kunden oder des Unternehmens">Name des Kunden oder des Unternehmens</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectAddress_pnlProjectAddress" class="col-12 col-md-5 projectaddress form-group required" data-item-key="ProjectAddress" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectAddress_txtProjectAddress" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectAddress_lblProjectAddress" title="Adresse des Projekts">Adresse des Projekts</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectZipCode_pnlProjectZipCode" class="col-3 col-md-2 projectzipcode form-group required" data-item-key="ProjectZipCode" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectZipCode_txtProjectZipCode" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectZipCode_lblProjectZipCode" title="Postleitzahl">Postleitzahl</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectCity_pnlProjectCity" class="col-9 col-md-5 projectcity form-group required" data-item-key="ProjectCity" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectCity_txtProjectCity" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ProjectCity_lblProjectCity" title="Ort">Ort</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactOnSite_pnlContactOnSite" class="col-12 contactonsite form-group required" data-item-key="ContactOnSite" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactOnSite_txtContactOnSite" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactOnSite_lblContactOnSite" title="Kontaktperson vor Ort">Kontaktperson vor Ort</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactTel_pnlContactTel" class="col-12 col-md-6 contacttel form-group required" data-item-key="ContactTel" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactTel_txtContactTel" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactTel_lblContactTel" title="Telefonnummer der Kontaktperson">Telefonnummer der Kontaktperson</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactEmail_pnlContactEmail" class="col-12 col-md-6 contactemail form-group required" data-item-key="ContactEmail" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactEmail_txtContactEmail" id="C_T_DefaultRegion_M8045_Form_FormPanel1_ContactEmail_lblContactEmail" title="E-Mail-Adresse der Kontaktperson">E-Mail-Adresse der Kontaktperson</label>
		</div>
            </div>
           
            
        </fieldset>

<fieldset class=" fieldpanel">
            <legend>Rechnungsadresse</legend>
            <div class="row">
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingNameOrCompany_pnlBillingNameOrCompany" class="col-12 col-md-6 billingnameorcompany form-group required" data-item-key="BillingNameOrCompany" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingNameOrCompany_txtBillingNameOrCompany" id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingNameOrCompany_lblBillingNameOrCompany" title="Name des Kunden oder des Unternehmens">Name des Kunden oder des Unternehmens</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingEmail_pnlBillingEmail" class="col-12 col-md-6 billingemail form-group required" data-item-key="BillingEmail" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingEmail_txtBillingEmail" id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingEmail_lblBillingEmail" title="E-Mail-Adresse für die digitale Rechnungsstellung">E-Mail-Adresse für die digitale Rechnungsstellung</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingAddress_pnlBillingAddress" class="col-12 col-md-5 billingaddress form-group required" data-item-key="BillingAddress" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingAddress_txtBillingAddress" id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingAddress_lblBillingAddress" title="Adresse">Adresse</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingZipCode_pnlBillingZipCode" class="col-3 col-md-2 billingzipcode form-group required" data-item-key="BillingZipCode" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingZipCode_txtBillingZipCode" id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingZipCode_lblBillingZipCode" title="Postleitzahl">Postleitzahl</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingCity_pnlBillingCity" class="col-9 col-md-5 billingcity form-group required" data-item-key="BillingCity" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingCity_txtBillingCity" id="C_T_DefaultRegion_M8045_Form_FormPanel1_BillingCity_lblBillingCity" title="Ort">Ort</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_Vat_pnlVat" class="col-12 col-md-6 vat form-group" data-item-key="Vat" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_Vat_txtVat" id="C_T_DefaultRegion_M8045_Form_FormPanel1_Vat_lblVat" title="Mehrwertsteuernummer (optional)">Mehrwertsteuernummer (optional)</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_Ref_pnlRef" class="col-12 col-md-6 ref form-group" data-item-key="Ref" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_Ref_txtRef" id="C_T_DefaultRegion_M8045_Form_FormPanel1_Ref_lblRef" title="Kauf-/Referenznummer**">Kauf-/Referenznummer**</label>
		</div>
                 <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_File_pnlFile" class="col-12 file form-group">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_File_uplFile" id="C_T_DefaultRegion_M8045_Form_FormPanel1_File_lblFile" title="Bestellformular (optional)">Bestellformular (optional)</label>
		</div>
                 <span class="col-12 fielpanel-bottominfos">** Wenn keine Kaufnummer angegeben wird, gehen wir davon aus, dass sie nicht erforderlich ist und die Rechnung bezahlt wird.</span>
            </div>
        </fieldset>

<fieldset class="fieldpanel actions form-group"><legend>Erforderliche Maßnahme</legend><div class="form-check" data-item-key="action1" data-item-type="List"></div><div class="form-check" data-item-key="action2" data-item-type="List"></div><div class="form-check" data-item-key="action3" data-item-type="List"></div></fieldset>

<fieldset class="fieldpanel">
            <legend>Beschreibung</legend>
            <div class="row">
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_Comment_pnlComment" class="col-12 comment form-group required" data-item-key="Comment" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_Comment_txtComment" id="C_T_DefaultRegion_M8045_Form_FormPanel1_Comment_lblComment" title="Detaillierte Beschreibung der Fehlfunktion/des Schadens">Detaillierte Beschreibung der Fehlfunktion/des Schadens</label>
		</div>
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_Photos_pnlPhotos" class="col-12 photos form-group">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_Photos_uplPhotos" id="C_T_DefaultRegion_M8045_Form_FormPanel1_Photos_lblPhotos" title="Fotos">Fotos</label>
		</div>

                <span class="col-12 fielpanel-bottominfos">max. 3 Dateien, max. Größe : 8 MB</span>
            </div>
        </fieldset>

<fieldset class="fieldpanel">
            <legend>Unterschrift</legend>
            <div class="row">
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureNameOrCompany_pnlSignatureNameOrCompany" class="col-12 signaturenameorcompany form-group required" data-item-key="SignatureNameOrCompany" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureNameOrCompany_txtSignatureNameOrCompany" id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureNameOrCompany_lblSignatureNameOrCompany" title="Name des Kunden oder des Unternehmens">Name des Kunden oder des Unternehmens</label>
		</div>
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFirstAndLastName_pnlSignatureFirstAndLastName" class="col-12 col-md-6 signaturefirstandlastname form-group required" data-item-key="SignatureFirstAndLastName" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFirstAndLastName_txtSignatureFirstAndLastName" id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFirstAndLastName_lblSignatureFirstAndLastName" title="Name & Vorname">Name & Vorname</label>
		</div>
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFunction_pnlSignatureFunction" class="col-12 col-md-6 signaturefunction form-group required" data-item-key="SignatureFunction" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFunction_txtSignatureFunction" id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureFunction_lblSignatureFunction" title="Funktion">Funktion</label>
		</div>
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignaturePhone_pnlSignaturePhone" class="col-12 col-md-6 signaturephone form-group required" data-item-key="SignaturePhone" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_SignaturePhone_txtSignaturePhone" id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignaturePhone_lblSignaturePhone" title="Telefonnummer">Telefonnummer</label>
		</div>
                <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureEmail_pnlSignatureEmail" class="col-12 col-md-6 signatureemail form-group required" data-item-key="SignatureEmail" data-item-type="Text">
			<label for="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureEmail_txtSignatureEmail" id="C_T_DefaultRegion_M8045_Form_FormPanel1_SignatureEmail_lblSignatureEmail" title="E-Mail-Adresse">E-Mail-Adresse</label>
		</div>
            </div>
        </fieldset>

<fieldset class="fieldpanel">
            <legend>Einverständnis</legend>
            <div class="row">
                <div class="col-12">
                    <div id="C_T_DefaultRegion_M8045_Form_FormPanel1_Accord_pnlAccord" class="form-group accord form-check required" data-item-key="Accord" data-item-type="Check">

		</div>
                </div>
                <span class="col-12 fielpanel-bottominfos">Der Kunde beauftragt Eurofencing, eine Fehlfunktion oder einen Schaden gemäß den oben genannten Spezifikationen zu beheben. Die Arbeiten werden gemäß den zum Zeitpunkt der Bestellung geltenden Tarifen an die von Ihnen angegebene Rechnungsadresse in Rechnung gestellt. Für diesen Auftrag gelten die Liefer- und Verkaufsbedingungen von Eurofencing. Alle angegebenen Stundensätze und Anrufgebühren verstehen sich ohne Mehrwertsteuer.</span>
            </div>


        </fieldset>

Wir respektieren Ihre Privatsphäre und verarbeiten Ihre Daten nur zur Bearbeitung Ihrer Anfrage. Durch Absenden akzeptieren Sie unsere [Datenschutzerklärung](/privatkunden/#privacy)