Application Form Business Postal Address

General Data
Company Name*
Chamber of Commerce number*
Not registered yet? Then please enter I/O for In Creation.
First Name*
Last Name*
Date of Birth
Date Format: DD dash MM dash YYYY
Place of Birth
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Number*
E-mail*
Preferred Services
Location*
Start Date Service*
Date Format: DD dash MM dash YYYY
Initial Duration Service*
X number of chosen months are invoiced directly.
Initial Duration Service*
X number of chosen months are invoiced directly.
Post Package*
For each package 'Post service maximum of 250 grams per delivery' applies.
Personal/Company data regarding application
Legal Form Company*
- Foundation, Sole Trader or VoF*
- BV or different
Shares*
Are there natural persons who own 25% or more of the company's shares, directly or through a higher company in the company structure.
- Yes
- No
Control*
Are there natural persons who hold 25% or more of the control (voting rights on shares) over the company, directly or through a higher company in the company structure.
Yes
No
Factual Control*
Are there natural persons who have permission to exercise actual control over the company.
Yes
No
Copy ID (jpg or png)*
Copy of ID must be fully visible.
Accepted file types: jpg, png.
Message
I have taken note of the General Terms and Conditions.*
General Terms and Conditions
Yes, I have read them and agree.
Email
This field is for validation purposes and should be left unchanged.

General Data