Request Form - GrafStat TAN-Assistant (english/german)

If you are interested in the TAN-Assistant to manage online surveys, please fill in the form below! TAN-Assistant assists you in managing online surveys with TAN support. TANs are necessary to ensure that only authorised persons can deliver data for a survey.

Given Name: *

Surname: *

Company/Institution:*

E-Mail: *

Department/Sector*

Production	Trade
Bank/Insurance	Handicraft
Education	Public Administration
Consulting	Market Research
Social Service	General Services
Other:

Position: *

Clerk	CEO	Administration
IT-Assistant	IT-Administration	Other:

The marked * fields are necessary!