Information form,the Vertical Green Company

Request for information on vertical green walls


Mr. / Ms. (Compulsory)

Initials / Christian Name


Surname (Compulsory)


Private/ Business (Compulsory)

What is your core business

Contact person

Visitors address


Postal address (street) (Compulsory)


House number (Compulsory)


Postal code (Compulsory)


City / Town / Village (Compulsory)




Country (Compulsory)


Telephone number (Compulsory)

Mobile number


E-mail (Compulsory)


Information about your vertical green wall


Type of Wall (Compulsory)

Carrying Wall

Type of Buidling

Buidling is used for

Property Owned / Rented

Year of construction Buidling / Wall

Backing wall material

Total wall measurement (Length x Height)

Measurement of the required green wall (Length x Height)

Floor material under the wall

Water supply in close vacinity of green wall

Electricity supply in close vacinity of green wall


Are there any particular items on/in the wall which need mentioning


Your photo / sketch of the situation

Information on required plants and your choice for the frame


Your choice of plants

Your frame choice

Required delivery time

Delivery time within

Additional remarks