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Request Sensory room/ Sensory bathroom

Fill in this non-binding form, to applicate for a Sensory Room or Sensory bathroom. Soon as the request is received successfully, you will receive a confirmation through the indicated e-mail address. Our staff will, if needed, contact you soon as possible!
Interested in footage of realized Sensory rooms? Click here!
Name and Address data
 
Institution Name (*):
Department:
Web address:
Title:
First Name (*):
insertion:
Last name (*):
Telephone number (*):
E-mail address (*):
Street + House number (*):
Postal Code + Town(*):
Country (*):
Data regarding the room and client
Data regarding the target group (*) :
Room measurements in CM (*):
Data regarding the room (*) :


Hold down CTRL or SHIFT while selecting the photos to upload multiple photos.
Reuse of material
Do you have items that need to be reused in the room?:
Information about the currently used material::
Wish list:
Enter the products here that you would like to see in the room: :
When we design the room, we will use our years of knowledge and expertise to ensure that the correct products are involved in the design.
Can you give us a budget indication so that we can make you a suitable proposal?(*)- EXCL.. VAT:
The budget indication helps us to make a fitting proposal, so we can prevent a situation in which we make a to expensive quotation.
Additional questions
Does the room need to be accessible for wheelchair users? (*)
Is there a suspended ceiling of 60x60/60x120 cm in the room? (*)
Is the room on the ground floor? (*)
Is the room already existing? (*)
Is there a hoist in the ceiling? (*)
Do you have an objection against us contacting you by telephone with remaining questions about te request?
Deadline for submitting a quotation?:
Deadline for the project?:
How did you find us?:
Enter data about:
- The purpose of the space: passive snoezelen, active snoezelen or both
- The age category
- The occurring handicap(s)
- The number of people present in the room at the exact moment
Insert photos in this field of the space regarding the following points.
ATTENTION! Up to 20MB of photos.
- Overview photo of the room from an unmistakable corner of the room
- Photos of All existing walls included a photo taken from the space of the door that is closed.
- A photo of the ceiling
- A photo or scan of the floor plan of the room (for example a construction drawing)
With this wish list, you can think of products like:
- A waterbed
- A bubble unit
- LED lighting effects
For which target group are you looking for a product?
Elderly
Elderly
Special Needs
Special Needs
Children
Children
Therapy & Movement
Therapy & Movement
No specific target group
No specific target group
Continue to step 2
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NOT AVAILABLE FOR FOREIGN CUSTOMERS
With a credit card you can pay securely on the internet. You pay with the information on your credit card (MasterdCard, Maestro or Visa): - the name on the card - the card number, shown centrally on the front of your credit card - the expiration date (the month and year of the expiration date are on the front) - the validation code on Visa or MasterdCard (CVV or CVC) is a three-digit code on the back of your card. This code is an additional security check.
With PayPal, online payment is secure and protected. You do not have to keep your credit card at hand to make payment. Your bank account or credit card number is already stored securely in your PayPal account, so it is not necessary to enter your data endlessly. With PayPal you only need your e-mail address and password and you can safely pay online within a few clicks. PayPal is free for you as a buyer. Only possible for payments up to 250 euro excluding VAT.
A transfer means that you transfer the money in advance via a regular bank transfer. You will receive an e-mail from Buckaroo with the bank account number, name of the beneficiary and of course the amount to be transferred. You need to transfer the amount within 7 days via a regular bank transfer.
As soon as we have confirmation of the moneytransfer, your order will be processed. If we have not received payment within 7 days your order will be canceled.
Note: during this period the delivery time of certain products may be changed!
You can deposit the amount shown on the order confirmation within 7 days into the account below. Tonce the amount is trnasferred and visible in our account the order will be sent, provided the product(s) are in stock.

For international customers : Nenko BV - Zaltbommel
ABN AMRO 's-Hertogenbosch
IBAN Account number: NL54ABNA0539216089

For Belgium: Nenko BVBA - Vorst-Laakdal
Fortis Bank Geel
IBAN Account number: BE230052464084

Please make sure that your order confirmation number is always mentioned with your payment!
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Do you want to be sure that the products ordered by you will actually be invoiced this year? We will then ensure that you do not encounter budget technical problems and that your budget of this year can be used even when products are not available at the moment.
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