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Application for installing a POS terminal

Company information

1

Authorized representative of the company:

2

Company contact person

3

Information on the use of POS terminals

4

Monthly turnover in EUR via POS terminal/s

Existing:
Планируемый:
None
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Company representative:

Accepted:

Appendix No. 1 to AS "Industra Bank" Trader's questionnaire

5

Required device

Stationary / IP POS
Mini POS
vPOS
Моb. POS
Cash register
Self-service station
Add new

Уполномоченное лицо компании:

I hereby consent to the processing of personal data.

* mandatory fields