Customer data

Customer No.:

Customer name:

Your transaction number:

Street:

Zip code / place:

Country:

Salutation:

First name:

Last name:

Department:

Contact by Email

Phone

Fax

Email:

Phone:

Fax:

Files:

Type of complaint:

Consignment / packaging

Price deviation

Product deviation

Service

Consent form:

Yes, I understand and agree with the Data protection that the data given by me are collected and stored electronically.
My personal data are only used strictly for the purpose of processing and answering my request.
By submitting the form, I declare my consent to the processing.

Data protectionLegal Notice

Keller & Kalmbach GmbH | Siemensstraße 19 | D-85716 Unterschleißheim | Phone +49 89/83 95-0 | info@keller-kalmbach.com