We use cookies on this website. Technical and functional cookies are essential to access the website. Others are used to optimise our services. Here, you will find an overview of the cookies used:

Cookie Settings

For more information on the cookies used and your rights under Art. 13 of the GDPR, please refer to our Privacy Policy.

You can find our imprint here: Imprint.

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Technische Cookies

Name Purpose Record Duration Provider Type
fe_typo_user This cookie is a standard session cookie of TYPO3. It stores the entered access data when a user logs in for a closed area. duration of the session TYPO3 Association, Sihlbruggstrasse 105, 6340 Baar, Schweiz HTTP
rc::c distinguishes between humans and bots duration of the session Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTML
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Marketing Cookies

Name Purpose Record Duration Provider Type
_ga registers a unique ID which is used to generate statistical data on the user’s website usage 2 years Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gid registers a unique ID which is used to generate statistical data on the user’s website usage 1 day Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gat The _gat_UA cookie also contains the identity number (_gat_ <***>) of the Google Analytics account or website to which the cookie refers.  1 day Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gcl_au is used by Google AdSense for advertising efficiency on web pages 3 months Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
r/collect transmits data about the user’s device and behaviour to Google Analytics duration of the session Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland Pixel

Customer data form

Dear customer,

We appreciate your interest in our products and our company. 
In order to register as a customer, we require some data from you.

Please fill in all mandatory fields (*) in the customer data form. 
Once we have received the completed form, we can process your enquiry or order as soon as possible.

This page is for the registration of commercial customers only. If you are a patient, please use our general Contact Form or the Supplier Search for Patients.

With best regards from Lüneburg,
Your FIOR & GENTZ team

Company’s Contact Details
The specification of a correct VAT ID no. is a prerequisite for the creation of a customer number.
Contact Person’s Contact Details

I agree that my personal data are exclusively recorded, processed and used strictly for purpose by the FIOR & GENTZ Gesellschaft für Entwicklung und Vertrieb von orthopädietechnischen Systemen mbH (referred to as FIOR & GENTZ GmbH in the following) with regard to the German data protection act. I can correct or delete all stored data at FIOR & GENTZ at any time without giving any reasons. I reserve the right to revoke the consent given to FIOR & GENTZ GmbH to collect and process my data without giving any reason at any time. I likewise forbid to transfer my personal data to third parties, provided that this is not necessary for rendering the service of or the contract performance through the FIOR & GENTZ GmbH. Legal basis for the processing is Art 6 s 1 (b) GDPR. Purpose of the processing is the contract initiation or fulfilment. The saved data are deleted, provided that the processing purpose becomes obsolete and no further legal or contractual retention obligations exist. Here, the legal retention period is 6 years.

You can subscribe to our EXPERTMAIL here!

We use cookies on this website. Technical and functional cookies are essential to access the website. Others are used to optimise our services. Here, you will find an overview of the cookies used:

Cookie Settings

For more information on the cookies used and your rights under Art. 13 of the GDPR, please refer to our Privacy Policy.

You can find our imprint here: Imprint.

×

Technische Cookies

Name Purpose Record Duration Provider Type
fe_typo_user This cookie is a standard session cookie of TYPO3. It stores the entered access data when a user logs in for a closed area. duration of the session TYPO3 Association, Sihlbruggstrasse 105, 6340 Baar, Schweiz HTTP
rc::c distinguishes between humans and bots duration of the session Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTML
×

Marketing Cookies

Name Purpose Record Duration Provider Type
_ga registers a unique ID which is used to generate statistical data on the user’s website usage 2 years Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gid registers a unique ID which is used to generate statistical data on the user’s website usage 1 day Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gat The _gat_UA cookie also contains the identity number (_gat_ <***>) of the Google Analytics account or website to which the cookie refers.  1 day Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
_gcl_au is used by Google AdSense for advertising efficiency on web pages 3 months Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland HTTP
r/collect transmits data about the user’s device and behaviour to Google Analytics duration of the session Google Ireland Limited, Google Building Gordon House, 4 Barrow St, Dublin, D04 E5W5, Irland Pixel