EIC Location Codes (V)

TO: Edig@s Workgroup

Location EIC code request (EIC "V"-code)

Code Request type:
Location EIC code (EIC "V"-code only used for Modification or Deletion):
Location Name:
Display Name: (max 16 characters)
Address Line 1::
Address Line 2::
Address Line 3::
Postal Code:
City:
Country:

Contact information:

EIC code of Responsible Party: mandatory
Contact Person:
Contact Telephone:
Contact E-mail:
Location Function: (Location,...)

Please fill-in your verification code:

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