REQUEST FOR CONNECTION

Legal organization name *

Company website

Registration number *

Check if the signing person is the same as the technical contact

Name of the signatory *

Title of the signatory *

Legal e-mail *

Phone number

Legal address *

Country *

Check if the billing company name is the same as the legal company name

Billing company name *

Check if the billing contact is the same as the signing person

Billing contact *

Title of the billing contact

E-mail *

Phone number

Billing frequency *

Quarterly

Annually (3 % discount on the monthly recurring fees)

France-IX pricing quote needed *

Yes

No

Purchase order *

Yes

No

If yes, please send it to info_at_franceix.net once issued.

VAT NumberOnly for members located in the EU

Billing address *

Country *