Registration Form for the EKO-KOM System

Data for the contract

VAT No.*

Company name*

If your company doesn't have a registered seat in The Czech Republic, please fill in a VAT Affirmation for EU or non-EU clients and attach it below.
(If it does, please contact us here for next instruction: info@ekokom.cz, +420 729 848 444)

Affirmation about VAT (doc, docx, pdf)

Registered office (place of business)

Street*

No.*

City*

Postal code*

State*

Represented by (Statutory Representative)

(person who signs the contract)

Name*

Surname*

Name

Surname

Name

Surname

Name

Surname

Name

Surname

The contract will be sent to the email address of the contact person listed below for qualified electronic signature. Please attach a document proving the authority is authorised to act on behalf of the company and sign the contract (for example a copy of an extract form the business register). In case your company will be represented by another company / person, please attach a Power of Attorney.

Document proving the authority is authorised
(to act in behalf of the company and sign the contract) or Power of Attorney