Request a repair / a quote

Your company

Company *

Address *

Zip Code *

City *

Name *

Title *

Phone Number *

Email *

Your need

Selection of your requirement *

I would like a quote

I would like to plan an intervention

Please select the field(s) you need.

Your Equipment

Model *

Serial number *

Material under warranty *

Order form if out of warranty

Symptom / Defect detected *

Join a file

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Location of your equipment

Address *

Zip Code *

City *

Name of local contact *

Local contact phone number *

Privacy *

Your personal data will be retained as long as necessary for the Purposes and will be accessible only to the extent necessary for those specific Purposes.

Yes, I accept that the Haulotte Group will continue to send me information.

No, after sending this form, I want my data to be deleted from the website database.

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