Service agreement quarterly
Company name
*
Registration number with the Dutch Chamber of Commerce (KVK nummer)
*
BTW number
*
Is your company an intermediary
Yes
No
If yes, please note which of the companies you represent that you would like to include in the service agreement
Contact person authorised to sign the service agreement
Name of authorised contact person
*
Position
*
Contact person for invoices
Contact person for invoices
*
Position
*
Email address
*
Email address for invoices
*
Telephone
Postal address
For attn of
Address
Postal code
City
Service agreement information
Reference or purchase order number
Additional information
Do you have any further comments?
Submit
Should be Empty: