First name
Last name
Street and no
Postal and city code
E-Mail
Phone or mobile
On your paper you have noted the 3 color gradient cards you have selected, enter the nubers below
Card Nr
1
2
3
4
5
6
7
8
9
and
10
11
12
13
14
15
16
17
18
and
19
20
21
22
23
24
25
26
1. In witch city or town is the dwelling in wich your want to install the plants?
2. Describe the room or rooms you wish to develop with plants and their sunlight characteristics
3. Do you have children or animals?
YES
NO
4. Servives. to buy on the shop
Service 1. Analysis with 1 plant and VAT CHF. 120.-
Service 2. Analysis with 2 plants and VAT CHF. 130.-
Service 3. Analysis with 3 plants and VAT CHF. 190.-
5. Note what interests you the most
After your payment and waiting period, you will receive the analysis
I have read the terms and conditions
I authorize chromoplants to store my data
Submit