SUBSCRIPTION ORDER FORM

survRTK Service, monthly subscription

1 - Applicant details

Company/Organisation

Chamber of Commerce number

VAT identification number

Address

Postal code

City

Country

Salutation

First name

Middle name

Last name

Email address

Phone number

Brand and model GNSS receiver

2 - Billing address

Address

Postal code

City

Country

Email address digital invoices

Phone number

3 - Pricing and quantities

Subscription	survRTK Service, monthly subscription
Standard rate per connection	150,- monthly
	Unlimited use
Rates quoted are net, in euros and exclusive of VAT.

Number of subscriptions

Desired starting date

4 - Order confirmation

By submitting this completed form, I am entering into a survRTK Service subscription. The initial term of the subscription is 1 month and is tacitly renewed each time for a period of 1 month. Fees are invoiced monthly in advance. I can terminate the subscription by e-mail with 1 month's notice, quoting the order number. I also declare that I am authorised to take out a subscription on behalf of my company/organisation and;

that I have filled in the above details completely truthfully;
that I agree to the Delivery Terms of VRS Next B.V.;
that I agree to the Network Services Privacy Statement of VRS Next B.V.