PARTICIPATION FORM

And you’re set: guarantee your participation now in the asecos anniversary prize draw!

Please fill out the form fields below. Once the form has been sent, you will receive a confirmation e-mail to activate your participation in the prize draw. Rest assured, your personal data will be processed in accordance with the Federal Data Protection Act.

You are participating in the prize draw for this current month.
You may, of course, take part in all subsequent monthly prize draws up until March 2020, each time making sure you register again to participate!

I want to win: Set of safety containers

Contact information

Anrede*

First name*

Family name*

Company address

Company*

Street*

Post code*

Town*

Land*

Phone

Email*

Legal notice

I have read the privacy policy of asecos GmbH and the participation conditions and I agree. Furthermore, I consent to the processing and use of my data in accordance with the declaration of consent for the purpose(s) mentioned in my request. *

I would like to receive the asecos newsletter on a regular basis

* Mandatory fields

asecos – Safety and Environmental Protection