APPLICATION/STARRESSA DIRECT CARD CONTRACT
1. Identification Details
2. Commercial Details
Identification Details
Tax ID Type
:
NIF
CIF
CIF p.j.e
NIE
Tax ID
:
Company / Business Name
:
Contact Person’s Details
Name
:
First Surname
:
Second Surname
:
Email Address
:
Telephone
:
Coverage Scope
:
DESCONOCIDO
COMARCAL
INTERNACIONAL
LOCAL
MIXTA
NACIONAL
PROVINCIAL
REGIONAL
Business Address
:
Town or City
:
Post code
:
Country
:
ESPAÑA
BULGARIA
DANMARK
CESKA REPUBLIKA
DEUTSCHLAND
MAGYARORSZAG
ITALIA
FRANCE
OSTERREICH
LUXEMBOURG
PORTUGAL
MARRUECOS
HOLLAND
BELGIQUE
ANDORRA
POLSKA
GIBRALTAR
RUMANIA
SLOVENSKA REPUBLICA
ESLOVENIA
SUECIA
SUIZA
UNITED KINGDOM
NORUEGA
MACEDONIA
ESTONIA
GRECIA
BOSNIA HERZEGOVINA
LETONIA
CROACIA
LITUANIA
RUSIA
FINLANDIA
SINGAPUR
IRLANDA
TURQUÍA
UCRANIA
Country
:
ESPAÑA
BULGARIA
DANMARK
CESKA REPUBLIKA
DEUTSCHLAND
MAGYARORSZAG
ITALIA
FRANCE
OSTERREICH
LUXEMBOURG
PORTUGAL
MARRUECOS
HOLLAND
BELGIQUE
ANDORRA
POLSKA
GIBRALTAR
RUMANIA
SLOVENSKA REPUBLICA
ESLOVENIA
SUECIA
SUIZA
UNITED KINGDOM
NORUEGA
MACEDONIA
ESTONIA
GRECIA
BOSNIA HERZEGOVINA
LETONIA
CROACIA
LITUANIA
RUSIA
FINLANDIA
SINGAPUR
IRLANDA
TURQUÍA
UCRANIA
Paperless Billing Registration
Electronic Bill Email
:
Before we move to the next screen, we inform you that the data provided in this paragraph may be used by CEPSA for a period of 1 month to contact the user and assist in the card registration process if there are any errors or omissions in the information required. After this deadline, CEPSA will not retain or process the information provided in an incomplete or unaccepted application for any other purpose.
All fields are mandatory.
24H Customer Care Service: 91 728 88 01
Next