Diagnostik och behandling av hälta, hund och katt, del 2

Required information is marked with *

First name *

Last name *

E-mail *

Mobile *

Do you want special food

Address *

Zip *

City *

Also send the invoice to the following e-mail address, eg Finance Department. *

Närvarar måltider dag 1* * You must choose one of the alternatives below * Ja Nej

Närvarar middag* * You must choose one of the alternatives below * Ja Nej

Närvarar måltider dag 2* * You must choose one of the alternatives below * Ja Nej

Invoice data
The invoice will only be sent digitally  
(Use the above address on the invoice / receipt)

Invoice/organization name*

Invoice label

GLN (Mandatory for Government)

Social security number or Organization number* (Required for Business)*

invoice reference*

Invoicing address*

Zip code*

City*

Look through the "Invoice Recipient information" above and double check that the information is filled in correctly so that the invoice is sent to the correct recipient with correct address information!
New invoice due to incorrect address information will be charged at 5 EUR excl VAT!
Notice that the invoice only will be sent digitally!  

I've verified the billing information and it is correct Yes No

Please, choose payment method 

Visacard / Mastercard Swish Faktura

I have read and agree to the privacy policy *.

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