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Formulaire de demande d'accès à Manitowoc Direct

Pour effectuer une demande de compte (login) "Manitowoc Direct", merci de remplir le formulaire ci-dessous - Les champs marqués d'un astérisque (*) sont obligatoires.

Les applications disponibles apparaissent lorsque tous les champs nécessaires sont remplis.

Informations personnelles

Prénom*

Prénom* must have at least 0 and no more than 256 characters.The value of the Prénom* field is not valid.

Nom*

Nom* must have at least 0 and no more than 256 characters.The value of the Nom* field is not valid.

Adresse email*

Enter a valid email address.

Confirmez votre adresse email*

Enter a valid email address.

Téléphone Fixe

Téléphone Fixe must have at least 0 and no more than 256 characters.The value of the Téléphone Fixe field is not valid.

Téléphone mobile

Téléphone mobile must have at least 0 and no more than 256 characters.The value of the Téléphone mobile field is not valid.

Special Needs

Accessibility

Food Allergies

Food Restrictions

Comments

Comments must have at least 0 and no more than 512 characters.The value of the Comments field is not valid.

Coordonnées entreprise

Nom de votre entreprise*

Nom de votre entreprise* must have at least 0 and no more than 256 characters.The value of the Nom de votre entreprise* field is not valid.

Adresse 1*

Adresse 1* must have at least 0 and no more than 256 characters.The value of the Adresse 1* field is not valid.

Adresse 2

Adresse 2 must have at least 0 and no more than 256 characters.The value of the Adresse 2 field is not valid.

Ville*

Ville* must have at least 0 and no more than 256 characters.The value of the Ville* field is not valid.

Département*

Code postal*

Code postal* must have at least 0 and no more than 256 characters.The value of the Code postal* field is not valid.

Zone géographique*

Pays*

Training Coordinator

First Name*

First Name* must have at least 0 and no more than 256 characters.The value of the First Name* field is not valid.

Last Name*

Last Name* must have at least 0 and no more than 256 characters.The value of the Last Name* field is not valid.

Email*

Enter a valid email address.

Phone*

Enter a valid telephone number.

Applications disponibles (remplissez d'abord les champs : Lien avec Manitowoc / Zone Géographique / Marques de grues)

Marques de grues utilisées ou gérées*

GMK	National Crane
Grove	Parts
Manitowoc	Potain

Sélectionnez les applications*

Crane System Theory

Crane Technology & Operation

GMK 1.1

GMK 2.1

Grove 1.1

Grove 2.1

Advanced Field Welding

Boom Inspection & Lacing Repair

CANBUS 1

CANBUS 2

Conventional

EPIC 1

EPIC 2

Intro to CANBUS

Intro to EPIC

Lattice Terminology

MLC165 Model Specific

Small Crawler 1

National 1.1

Crane Care Parts

Potain Climb

Potain French Schematics

Potain GMA EOD

Potain GMA Service

Potain GME EOD

Potain GME Service

Preferred date of training

Dealer Selection

Please choose your local dealer

Informations additionnelles

Commentaires

Credit Card

Purchase Order

Purchase Order Number

Purchase Order Number must have at least 0 and no more than 256 characters.The value of the Purchase Order Number field is not valid.

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