GIT

step1 - personal data

Services Owner

Name * :

Important: To create a contract for your company please insert the name of the company on Surname field and insert "-" on the Name field.

First Surname * :

Important: Services Owner should be the same than account owner where all payments are going to be debitted.

Second Surname :

Type of document * :

Important: A copy of the choosen identification document has to be sended to the company before of the instalation date.

Document Identification * :

Date of Birth :

th of /

Primary Telephone number * :

Best time * :

Alternative Telephone number :

Best time :

Preferred Language * :

E-mail Adress * :

Mark this checkbox if you wish to receive your bills by post on the same adress as where the system will be installed.