Solicitud de presupuesto para sillas o plataformas

Para pedir un presupuesto para una nueva instalación complete la mayor cantidad posible
de campos en este formulario y envíelo.
A la brevedad nos pondremos en contacto con usted.

Nombre:
Apellido:
Domicilio de obra:
Ciudad:
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Teléfono:
E-mail:
Presupuesto para:		SillaPlataforma
Datos de la escalera
1) Ancho de la escalera:		cm
2) Altura de piso a techo:		cm
3) Espacio disponible en P.A.:		cm
4) Espacio disponible en P.B.:		cm
5)Distancia del primer al último escalón en cada tramo
	a)	cm
	b)	cm
	c)	cm
Tipo de escalera     Cantidad de escalones: