EIC request application form| AST

Please fill out all required fields!

Contact within company

Company name *

Address *

Postal/ZIP code *

City *

Country *

Contact person *

Phone *

Fax *

E-mail *

Web page (if exists)

EAN code (if exist)

Company code *

VAT code *

Electricity TRADERS Register Nr

Functions (brief description) *

Create/ Update/ Reactivate/ Deactivate: *

Code scope *

Requeated by (name, surname) *

Function *

Phone *

E-mail *

Date *

(DD.MM.YY)

Required fields are marked with *.