Usage:


Number of persons:


Requested surface…m2:

   m²


Maintenance : Insurance :

Infants :


Security :


Exterior equipments :


Interior equipments :


Furniture :


Type :   


Duration :

   months


Date (from) :

/ /


Date (to) :

/ /


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Location :


Road type :


Access to the gate :


Type of truck :


Handling type :


Ground aera :


Circulation aera :


Manutention type :


Floor origin :


Overhead wire :


Floor access on site :


Establishment :


Site :


Electric connexion :


Fluid connexion :


EP connexion :


Electric :


Wedge :


Decking :


Surname :


Forename :


Company :


Postal/
Zip code :


Phone :


Email :