TransportaanvraagformulierTransport demand form

Transport demand form

Please describe which kind of transport you are requesting

Name of organization*
Contact name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
E-mail*
Phone*
Destination of transport*
Please describe country and city or place of destination. Note any preference regarding kind of transport, sea, air, land or combination.
Shipping data*
Describe which kind of packaging is offered. e.g. container, crates, parcels, etc. How much space is requested, What is the volume in m3 and what is the max. lenght, width, height.
Date of departure*
Note the requested date of departure. Is this date flexible and how much.

Argus 707V volumetric infusion pump for the controlled administration of fluids and medication. Including drop sensor. Easy to set up with just a few clicks.