Business Address Application Form

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

Place of Birth

Adres*

Address City State / Province Postal Code Country

Phone Number*

E-mail*

Preferred Services

Location*

Start Date*

Initial Duration Service*

X number of chosen months are invoiced directly.

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*

Sole Trader or Freelancer
B.V. (LLC) or other

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.

Ja

Nee

Factual Control*
Are there natural persons who have permission to exercise actual control over the company.

Ja

Nee

Copy ID (jpg, png or gif)*
Copy ID must be fully visible.
Accepted file types: jpg, png, gif, Max. file size: 5 MB.

Message

I have taken note of the General Terms and Conditions.*
Terms and Conditions
Yes, I have read them and agree.