| CUSTOMER INFORMATION |
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| * Company |
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| * Name and surname |
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| * Street and number |
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| * Postal code |
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| * City |
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| Country |
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| * E-mail |
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| * Home phone |
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| * Work phone |
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| Skype account |
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| www |
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| TECHNICAL INFORMATION |
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| I’m planning to build |
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| Scope of delivery of production |
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| I am interested in buying |
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| The required thermal resistance of the external wall R (m2K/W) |
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| Planned time of construction beginning |
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Planned time of construction finishing |
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| Construction place |
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| The required phase of building |
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| Object size |
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| Object type |
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| Loft |
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| Number of individual rooms, besides kitchen, hall, eventually hall connected with living-room, anteroom, hygienic room, sauna and other accessories |
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| Final cover treatment of exterior |
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| Final cover treatment of interior |
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| Garage |
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| Basements |
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| Supporting base |
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| Outbuilding |
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| Lot |
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| Supporting base |
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| SUPPLEMENTARY INFORMATION |
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| * Planned investment for a turnkey object without VAT |
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| I am interested in credit 1 500 Euro. |
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| Building permit |
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| I´d like to |
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| OTHER REQUESTS |
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