Request for proposal for services

1. Title*
2. First name*
3. Last name*
4. Position/Job title
5. Email address*
6. Phone number
7. *Company location
8. Company/Organisation name
9. Service*
10. Industry*
11. Yearly revenue
12. Attachment
13. Comments and/or instructions*
14. Acceptance*
15. Submit
16. CAPTCHA

Title*

Dr. Miss Mr. Mrs. Ms. Prof.

First name*

Last name*

Position/Job title

Email address*

Phone number

*Company location

Company/Organisation name

Service*

Audit & Assurance Consulting Financial Advisory Margers & Acquisitions Legal Deloitte Private Risk Advisory Tax Other

Industry*

Yearly revenue

less than €1 million €1 million - €5 million €5 million - €10 million €10 million - €99 million €100 million - €500 million €500 million - €999 million €1 billion - €5 billion Greater than €5 billion

Attachment

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Comments and/or instructions*

consent

By submitting this form, I give my consent to Deloitte General Services SaRL (“Deloitte Luxembourg”) to process my personal data contained in it for the purposes of addressing my request. I further confirm that I have read and accept Deloitte’s Privacy Statement. I am aware that I can withdraw my consent at any time by contacting Deloitte’s DPO at DataPrivacy@deloitte.lu.

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