Change of Address Notification

Informer:
Fields marked with asterisk are obligatory
Name	*
Telephone:	*
E-Mail:	*
Name of the housing co-operative OR address:	*
Apartment:	*
Data of Water Meter
Date when measured:	*
Measure of electricity:
Day contract:
Night contract:
More Information:
What month comes after July? ¹	*
¹ Why we are asking this?

There are a lot of robots who are looking for security holes in systems using these forms. If such a revision did not exist, we would get every day dozens or even hundreds of empty emails.

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