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Form- Charging Station
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Company to contact
Name First name person to contact
Description
E-mail of the interested
Telephone of the interested
Localisation of the interested
Potential number of charging stations
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I accept that my personal data are treated by MPS (Elto Belux) and its subcontractors when treating this form.
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I confirm all data above are correct.
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I confirm my contact person is interested by Mobilize's services.
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