Number of receivers ordered (number of people; we add a free transmitter and other necessary elements of the set to each order): *

Headphone type:
reusable (included in the price, depending on availability)disposable (fee PLN 3/piece)

Rental start date and time: *

Rental end date and time: *

Place of delivery (free delivery within the center of Warsaw, delivery outside the center or outside Warsaw costs PLN 40): *

Place of return (collection in the center of Warsaw free of charge, delivery outside the center or outside Warsaw costs PLN 40): *

Details of the ordering person along with contact number: (wymagane)

Details of the ordering company (do not complete in case of a private person):

Address of the ordering person/company: *

Contact details of the person collecting the kits along with contact number: *

Contact details of the person returning the kits along with a contact number: *

Invoice: *
yesno

Invoice details:

Address email: *

I declare that I have read the rental regulations » *

Comments: