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Fee form

Contact comapny

Name

Address

Personal Information

Birthdate

Contact info

Payment

Do we need to pay you?
Untitled multiple choice field
A
B

Signature

By signing this I promise the information given is correct and I agree to mugsi.admin(VAT: DK40698256) keeping and storing my information on behalf of the payee for 3 years.
You can at all times have your information delete by emailing [email protected]
Signature