Request/Offer
Please check where applicable and enter quantity
Please send me a price quotation
I would like to order for immediate delivery
Components
Quantity
Schröttle Dual-Control Pedals for
Teaching Vehicles Quantity
Quantity
Manual Control Unit
Quantity
Additional Accelerator Pedal
Quantity
Foot Rest
Other Devices for Disabled Drivers
(Please describe your request in
the field "Your Message")
Vehicle
Vehicle Manufacturer *
Vehicle Type *
Year of Manufacture *
Month of Manufacture *
Manual Transmission
Autom. Transmission
Petrol
Diesel
Hybrid
Electric
Air Conditioning
No Air Conditioning
Delivery
Delivery by Parcel Service
Mail Delivery
Installation by Schröttle
Address
Company
First Name / Surname *
Street Name and Number *
Postcode / Location *
Country *
Phone *
Fax
Email *
Payment Type
Cash On Delivery
2,- € additional fee for pay on delivery within Germany
Cash With Order
Delivery address if different from above
Company
First Name / Surname
Street Name and Number
Postcode / Location / Country
Your Message
* obligatory fields
Schröttle-Gerätebau GmbH · Hauptstraße 1 - 3 b · 86679 Ellgau · Telefon 08273 91805