Achuk101 - Request for Information

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Your name *

Your mobile number *

Your email *

Your company / organization name *

Your designation *

Address of location where fire extinguishers are required *

Number of 6 Litre Acuk101 Fire extinguishers required

Number of 45 Litre Achuk101 extinguishers required

Specify the area to be protected with Achuk101 fire extinguishers (area in sq. ft.)

Please choose the major material present at the area to be protected *

cloth, paper, wood, etc.

rubber, tyre etc.

thermocol, foam, etc.

plastic, PVC, etc.

coal

Other:

Required

I would like Achuk101 fire extinguishers to be delivered by

YYYY

Any other comments

Submit

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