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Change address
Change address
Help Desk
2018-09-17T14:55:19+02:00
This form allows you to change your address.
Salutation
*
Mr.
Mrs.
Title
First name
*
Initials
*
Insertion
Last name
*
Date of birth
*
DD
MM
YYYY
Old address
*
Street + number
City
Postal code
New address
*
Street + number
City
Postal code
Telephone (old)
Telephone (new)
Email address (old)
*
Email address (new)
*