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CERS - CORE System – Request Form

Please fill out this quick form so we can get started on your project. Once submitted, you will receive a confirmation email and the next steps.

SECTION 1 — CLIENT DETAILS

Full Name

Email Address

Business Name (Short answer)

Country?

Website (Optional but recommended)

Phone Number

SECTION 2 - CORE ISSUES

What is the main issue right now?

SECTION 3 - TIMING & INTENT

How soon are you looking to implement this? (Dropdown)

Would you like a Structured System Audit (Yes/No)?

SECTION 4 - COMMITMENT

Do you understand the scop and would like to proceed with the setup (Yes/No)?

SECTION 5 - CONFIRMATION

Please confirm the following

Please confirm the following

SECTION 5 - COMMUNICATION

Preferred reply language

(English / German / French / Same as message)