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Order form: fuel labels for service stations
General information
This page is for the entry of general information for the order.
On the next pages, you can then order the desired number of labels in Dutch and labels in French.
In order to be final, the order must be confirmed on the last page.
*
1.
Title
(Required.)
Mr.
Ms.
Mrs.
*
2.
First name
(Required.)
*
3.
Family name
(Required.)
*
4.
E-mail
(Required.)
*
5.
Telephone number
(Required.)
*
6.
Language
(Required.)
English
French
Dutch
*
7.
Invoice address
(Required.)
Name
Company/Organisation
*
Address
*
Address 2
Town/City
*
Postal code
*
Country
*
8.
VAT number
(Required.)
9.
Purchase order number (if applicable)
10.
Delivery address (if different from the invoice address).
Attention: If your order has to be delivered to more than 1 different delivery addresses, please contact
sales@nbn.be
.
Name
Company/Organisation
Address
Address 2
Town/City
Postal code
Country
*
11.
NBN privacy statement
(Required.)
I accept the
NBN privacy statement
12.
NBN news
I would like to receive news from NBN in the future to keep me up to date on new standards, events and training courses.
