Surface finish:

Monitor:

Printer:

Keyboard:

Chipcard reader: 

Smartcard reader: 

Smartcard / Chipcard reader: 

Smardcard reader / writter: 

Security device - alarm: 

Coinproof: 

Safe for coins: 

Camera: 

Microphone: 

PC:

Configuration:

Estimated number of kiosks:

Contact information

Organization/Company (required):

Contact person (required):

Address (required):

City (required):

Postal Code (required):

Country (required):

Phone Number (required):

Fax:

E-mail (required):

Notice: