Salutation SalutationHerrFrauDivers

First name

Last name

Adress

Postcode

City

Telephone

E-mail address

Company name

What colour should your products be? What colour should your products be? Light gray Natural beech Cherry Wood Orange

Number of devices natural beech

Number of devices Cherry Wood Orange

Number of devices light gray

Should at least one bed sensor be connected to a light call system? Should at least one bed sensor be connected to a light call system? Yes No

If yes, how many?

Name of the nurse call system producer Name of the nurse call system producerAckermannAscomAvayaConDigiEFEFACIfamaluxhospicallIloerSchneider ElectricSchrackShelterSmartLibertytetronikTunstallVaroluxWinkelZettler - Total WaltherOther

Model of the nurse call system

Do you need different nurse call system producers for your nurse call system? Do you need different nurse call system producers for your nurse call system? Yes No

Other nurse call system manufacturer 1 Other nurse call system manufacturer 1AckermannAscomAvayaConDigiEFEFACIfamaluxhospicallIloerSchneider ElectricSchrackShelterSmartLibertytetronikTunstallVaroluxWinkelZettler - Total WaltherOther

Other nurse call system manufacturer 2 Other nurse call system manufacturer 2AckermannAscomAvayaConDigiEFEFACIfamaluxhospicallIloerSchneider ElectricSchrackShelterSmartLibertytetronikTunstallVaroluxWinkelZettler - Total WaltherOther

If your call system is not in the list, please list it here

The nurse call system works with The nurse call system works with Closed current / opener Working current/closer i don't know

In the room there are In the room there are one slot per resident two slots per resident

Should at least one bed sensor be connected to a radio chime? Should at least one bed sensor be connected to a radio chime? Yes No

If yes, how many?

Should at least one bed sensor be connected to the home emergency call? Should at least one bed sensor be connected to the home emergency call? Yes No

If yes, how many?

Name of the home emergency call

Is a connection to other alarm units than those mentioned desired? Is a connection to other alarm units than those mentioned desired? Yes No

Please tell us to which other alarm unit the bed sensors are to be connected.

Would you like us to contact your house technician for the purpose of connecting the devices? Would you like us to contact your house technician for the purpose of connecting the devices? Yes No

Salutation SalutationHerrFrauDivers

First Name

Last Name

Telephone number

E-mail adress

Message

Discount code

Data privacy Data privacy I accept the data privacy