Thank you for your interest in our service.

Please note:

If you use your machine to convey hazardous substances in accordance with §3 of the Hazardous Substances Ordinance, it is essential that you attach the following documents when submitting your enquiry:

Declaration of contamination
Safety data sheet for the respective pumped medium

Important note: If information about the pumped medium is missing or incorrect, if operating materials have not been drained, or if documents (contamination declaration, safety data sheet) are missing, we will charge an additional €500 for the additional work involved. Further processing can only take place if all the necessary data and documents

Inquiry Form – Repair / Exchange Unit

Details of the Ordering Party / Customer

Your Aerzen Customer Number

Your Company *

Street and House Number *

Additional Address Information

Postal Code *

City *

Country *

Contact Person *

Email *

VAT Identification Number

Phone *

Consignee (if different)

Company

Street and House Number

Additional Address Information

Postal Code

City

Contact Person

Repair Details

Customer Reference No.

e.g. Order / Commission / Job

Serial Number(s) *

If necessary, please enter multiple numbers here

Product Description(s) *

If necessary, please enter multiple descriptions here

Description of the Problem

Exchange Unit Requested? * Exchange Unit Concept

Yes

Process Medium * Process Medium with Hazardous Properties According to Section 3 of the Hazardous Substances Ordinance?

Yes

Upload declaration of contamination and safety data sheet

Plik *

Please upload the required documents here

Korzystając z tego formularza, zgadzam się na dalsze przetwarzanie mojego zapytania zgodnie z naszą Polityką Prywatności. *

I hereby confirm the accuracy of the information provided *

Recaptcha