Selikor

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Name/Nòmber*
Email/ Emeil*
*Of the person whose name is on the Aqualectra bill/ di e persona menshoná riba e faktura di Aqualectra
*Of the person whose name is on the Aqualectra bill/ di e persona menshoná riba e faktura di Aqualectra
Max. file size: 25 MB.
Max. file size: 25 MB.
*not older than 6 months/ No mas ku 6 luna bieu
Max. file size: 25 MB.

For the registration to be processed, the registration must be complete and accurate. Otherwise, it will need to be re-registered.
Pa trata e petishon, e registrashon mester ta kompleto i korekto yená. Di otro forma mester registrá di nobo

Consent/ Aprobashon*