To be able to answer you correctly we still need the following informations :

(*)Your first Name

(*) Your Name

(*) YOUR ADRESS

(*)STREET NUMBER

(*) Postal code

(*)City

(*)Your Email Adress

(*) Your mobile phone number + the mobile number of the person picking up the equipment

Below, please clearly indicate the collection and return dates, as well as the days of use.
If you don't yet know the collection and return dates, simply enter "not yet known" in the fields.

(*) Desired date and time for collection of the equipment

(*) DAY(s) USE

(*) Desired date and time for the return of the equipment

(*) Your Specific Request

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