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Change of Address Notification

Informer:

Fields marked with asterisk are obligatory
Name *
Telephone: *
E-Mail: *
Name of the housing co-operative OR address: *
Apartment: *
 

Data of Water Meter

Date when measured: *
Measure of electricity:
Day contract:
Night contract:
More Information:
What month comes after July? ¹ *
¹ Why we are asking this?
There are a lot of robots who are looking for security holes in systems using these forms. If such a revision did not exist, we would get every day dozens or even hundreds of empty emails.