REQUEST FOR CONNECTION

Legal Organization Name *

Company website

Registration Number *

Check if signing person is the same as technical contact

Name of the signatory *

Title of the signatory *

Legal e-mail *

Phone number

Legal Address *

Country *

Check if Billing Company name is the same as Legal Company Name

Billing Company Name *

Check if billing person is the same as 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 *