New Connection Form

Aitisi Syndesis-ROG-en

FULL NAME / COMPANY NAME (This field is mandatory)

STATUS (This field is mandatory)

STREET NAME (This field is mandatory)

STREET NUMBER (This field is mandatory)

POSTAL CODE (This field is mandatory)

CITY (This field is mandatory)

REGION (This field is mandatory)

MOBILE PHONE NUMBER (This field is mandatory)

PHONE NUMBER

E-MAIL (This field is mandatory)

TAX CODE (This field is mandatory)

TAX OFFICE

Existence of Natural gas Point of Delivery (metering device) in the Building

AUTONOMOUS HEATING

AUTONOMOUS HEATING & HOT WATER

COOKING

HOT WATER

CENTRAL HEATING

CENTRAL HEATING & HOT WATER

ΤECHNOLOGICAL EQUIPMENT

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