Application - request form for an API Certificate subscription
Company Information
Company name
Street name and house number
Zipcode
City
Legal form
Please select...
Proprietorship
Partnership
BV
NV
Founding/association
Otherwise
Chamber of Commerce number
Debtor code ( if known )
Is the billing address same as company address?
Yes
No
Billing Address
Street name and house number
Zipcode
City
Signing Contact
Signer's name
Signer's function
Signer's email address
Technical Contact
Name
Wie is technisch contactpersoon inzage de koppeling?
x
Function
Email address
Payment Details
IBAN
Account holder name
Billing email address
Website
What is your Cliënt ID for the connection?
Terms and Conditions
Yes, I agree to the
Terms and Conditions
.
Monthly Costs
Yes, I agree that Wolters Kluwer Tax and Accounting Nederland B.V. will collect the subscription amount of
€
53 via direct debit on a monthly basis.
Subscription
Yes, I agree to a subscription with a term of at least 12 months.
Signature Date