COMMISSION CONTRACT

I AM client *

COMPANY NAME

FIRST NAME *

FAMILY NAME *

DATE OF BIRTH

TELEPHONE NUMBER *

E-MAIL *

PLACE OF RESIDENCE *

POSTAL CODE *

STREET *

HOUSE NUMBER *

Describe what it is about *

OPPOSITE *

COMPANY NAME

FIRST NAME *

FAMILY NAME *

DATE OF BIRTH

TELEPHONE NUMBER *

E-MAIL *

PLACE OF RESIDENCE *

POSTAL CODE *

STREET *

HOUSE NUMBER *

PROCESSING TIME *

---------------------- 7-14 DAYS RESTRICTED 15-30 DAYS RESTRICTED OTHER TIME SPECIFICATIONS

NOTE ON PROCESSING TIME *

COMMISSION AMOUNT *

TAXATION TYPE *

---------------------- several times a year 30% onces a year 35%

TAX PERMIT *

BANK NAME - COMMISSION PAYER *

FIRST NAME and FAMILY NAME - COMMISSION PAYER *

ACCOUNT NUMBER IBAN: - COMMISSION PAYER *

BIC: - COMMISSION RECEIVER *

BANK NAME - COMMISSION RECEIVER *

FIRST NAME and FAMILY NAME - COMMISSION RECEIVER *

ACCOUNT NUMBER IBAN: - COMMISSION RECEIVER *

BIC: - COMMISSION RECEIVER *

PRIVACY POLICY *

SEND COMMISSION CONTRACT COPY *

COMMISSION CONTRACT combined with PARTNERSHIP AGREEMENT *

CONTRACTING*

DATE *

Official name and surname *