SUBSCRIPTION ORDER FORM

1 - Applicant details

Company/Organisation

Chamber of Commerce number

VAT identification number

Address

Postal code

City

Country

Salutation
—Please choose an option—Dhr., Mr., M., Herr.Mevr., Mrs., Mme., Frau.

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

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.