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Contract Holder Information

Company name

Access code to the commercial registration certificate

NIPC

Do you want to subscribe to electronic invoicing? *

Yes

If you answered yes, please register your email.

Do you want to sign up for direct debit? *

Yes

IBAN

If you answered yes, please register your IBAN

Consumption Location

Address | Consumption Location

City/Town | Consumption Location

Postal Code | Consumption Location

Local Identification Code

Meter reading

Complete in case of change of contract holder

In the counter, consider only the digits with a black or white background

Address for Correspondence

(To be filled in when it doesn't match the consumption location)

Address | Mailing Correspondence

City/Town | Mailing Correspondence

Postal Code | Mailing Correspondence

Identification of the legal representative(s) of the company

Company representative 1

Name [Company representative 1]

Number ID Card [Company representative 1]

NIF [Company representative 1]

ID Card [Company representative 1]

The document must not exceed 2MB

Company representative 2

Name [Company representative 2]

Number ID Card [Company representative 2]

NIF [Company representative 2]

ID Card [Company representative 2]

The document must not exceed 2MB

Company representative 3

Name [Company representative 3]

Number ID Card [Company representative 3]

NIF [Company representative 3]

ID Card [Company representative 3]

The document must not exceed 2MB

Contact person

Name

Phone

Required documents

Property Deed or Lease Agreement or Purchase and Sale Agreement

The document must not exceed 2 MB

De acordo com o artigo 125º do Código de Imposto Municipal sobre Imóveis (IMI) as entidades fornecedoras de energia são obrigadas a comunicar, à Autoridade Tributária e Aduaneira (AT), a identificação dos Clientes e dos Imóveis de todos os contratos celebrados a partir de 1 de janeiro de 2015. Caso não entregue a documentação, será contactado posteriormente pelos nossos serviços para facultar a informação.

Notes

The personal data collected will be processed by Rolear, S.A. for the purpose of entering into a contract for the supply of propane gas.

Rolear, S.A. is responsible and authorized to process the customer's personal data as stipulated in this contract. These data will be processed automatically and electronically for commercial and administrative management, including billing and credit recovery management. They may be provided to Rolear's employees and third-party service providers for these purposes.

I agree that the personal data collected in the scope of the service provision may be used for marketing processes and/or campaigns by the company, in accordance with the Privacy Policy. *

Yes

I agree that the personal data collected within the scope of the service provision may be used for marketing processes and/or campaigns by third parties, in accordance with the Privacy Policy. *

yes

I have read and accept the Privacy Policy. *