MOVING Moving Express
APPLICATION FORM

 Company details:

Name of company:


Addres:


Telephone:


Fax:


E-mail:


NIP:


Regon:



 Additional information:

Internal movings: Yes No

International movings: Yes No

Movings only in the region of activity: Yes No

Here I agree on processing personal data located in the inference, by Moving Express, in the field connected with guidance and realization of mediation in information interchanging.
Coincidentally, I state that I am conscious of giving my data voluntary and that I was informed about the rights to have a look in my data and about the possibility to correct it.