Place an order

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Provider

Subscription *

Fixed IP

Please contact me to discuss fixed IP options.

Number of SIM cards *

Date *

Business or private? *

Company name *

Chamber of Commerce number *

VAT number * NL 12345678B90

Dealer code V Code (2 capitals followed by 3 numbers, e.g: AA123)

Telephone number *

Invoice email *

Copy from contact person´s email address

You receive invoices only via email.

Initials *

Infix

Last name *

Sex

Email address *

Copy from invoice email address

IBAN *

By providing your IBAN bank account number with your order, you will give Wireless Logic Benelux B.V. permission to send periodical collection orders to your bank to collect a sum for the payment of purchasing and/or subscription costs of SIM cards and gave your bank permission to deduct a sum from your account periodically in accordance with the order to Wireless Logic Benelux B.V. If you disagree with this collection, you can have the charge reversed. In this case, contact your bank within eight weeks after the collection. Ask your bank for the conditions.

Country *

Zip code *

Number *

Affix

Street *

City *

Copy to delivery address

Country *

Zip code *

Number *

Affix

Street *

City *

To person

Attn. company

Providing false and/or wrong information is punishable.

By clicking ´send order´ you agree with our General Terms and Conditions. Click here to download our General Terms and Conditions.

For the execution of the agreement among other things, Wireless Logic Benelux B.V. will process your personal information. The circle of recipients of your personal information will be determined by the nature of the activities Wirless Logic Benelux B.V. will perform under the agreement. In all cases, your personal information will be processed under the principles of minimal data processing. Wireless Logic Benelux B.V. will store your personal information (including this permission) as briefly as possible under the statutory retention obligations. Under the General Data Protection Regulations, you have the right to object, access, rectify, limit, data portability, erasure, revoke the permission and complain. By submitting this, you explicitly provide permission for the processing of the personal information as stated above.