Order form: fuel labels for service stations General information This page is for the entry of general information for the order.On the next pages, you can then order the desired number of labels in Dutch and labels in French.In order to be final, the order must be confirmed on the last page. OK Question Title * 1. Title Mr. Ms. Mrs. OK Question Title * 2. First name OK Question Title * 3. Family name OK Question Title * 4. E-mail OK Question Title * 5. Telephone number OK Question Title * 6. Language English French Dutch OK Question Title * 7. Invoice address Name Company/Organisation * Address * Address 2 Town/City * Postal code * Country OK Question Title * 8. VAT number OK Question Title * 9. Purchase order number (if applicable) OK Question Title * 10. Delivery address (if different from the invoice address).Attention: If your order has to be delivered to more than 1 different delivery addresses, please contact sales@nbn.be. Name Company/Organisation Address Address 2 Town/City Postal code Country OK Question Title * 11. NBN privacy statement I accept the NBN privacy statement OK Question Title * 12. NBN news I would like to receive news from NBN in the future to keep me up to date on new standards, events and training courses. OK NEXT PAGE