Application for payment by invoice for electric vehicle charging service

Company name

Company reg. nr.

Full name

Representative’s ID code

Phone number

Contact email address

Invoice email address

What type of invoice would You like to receive?

With which authentication method do you want to recharge?

How many electrical cars are in Your car park?

Required number of Elektrum Drive charge cards

Additional information

We process the personal data contained in the application in order to prepare an offer for electric vehicle charging.
We process this personal data in accordance with the General Regulation on the Protection of Personal Data and the data processing principles of Elektrum Eesti OÜ.

I certify that the information provided in the application, including contact details, is true and correct.
I certify that I have the appropriate authorisation to submit this application.