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1
General Information
2
Employee Type
Legal
Name*
Legal
entity*
Business
Number*
IBAN number
Street*
No.
Bus
Country
Select...
Belgium
The Netherlands
Contact Person's
First Name*
Contact person's
last name*
Phone
number*
Email
address*
Billing email address
Cost center(s
)*
Sector*
Select...
Retail
Hospitality Industry
Other
Number of
employees*
Less than 20
More than 20
Joint
Committee*
Day
system*
Hours per
week*
Meal
vouchers*
Yes
No
Social Membership
According to the Joint Committee
Otherwise
Otherwise
Additional
information*
HP Name
