Application for ENX Network Registration PRINT AND SEND YOUR SIGNED HARD COPY ENX Association Registration Application Bockenheimer Landstrasse 97-99 or scan and email to
[email protected] 60325 Frankfurt am Main Germany Invoice Address Company Name Street Zip Code PO Box (optional) PO Box Zip Code (optional) City Country VAT Number Port Location (if different) First Communication Partner (FCP) Company Name Street Zip Code PO Box (optional) PO Box Zip Code (optional) City Country Contact (Your Company) Contact (FCP) Salutation First Name Family Name Title (Optional) Function (Optional) Department Phone Fax Email Address ENX Association • Application for ENX Registration Page 1/2 Application for ENX Registration Application Details Use Port Location as Postal Address for Contact (yes/no) Existing Company Registration Number (leave blank if none) Application Comment I agree with the data collection and data processing according to Part C – Data Privacy of the General Terms and Conditions of the ENX Registration and Utilisation. I also agree that ENX is entitled to make my personal data and information available to Certified Service Providers through an access restricted database frontend for communication purposes, including the provision of (service) information of such Certified Service Providers that may also be sent via email and/or phone to the contact information above. I accept the General Terms and Conditions of the ENX registration and utilisation (including the data privacy declaration above). Location and Date Stamp and Signature Further Questions? Contact Mr. Florian Gleich, Phone +49 69 9866927-60,
[email protected] ENX Association • Application for ENX Registration Page 2/2 General Terms and Conditions of the ENX Registration and Utilisation Part A – Definitions and Registration users requires the establishment of an individual connection.