[%TITLE_BEFORE%]
[%FIRSTNAME%]
[%LASTNAME%]
[%COMPANY%]
[%TITLE_BEFORE_COM%] [%FIRSTNAME_COM%] [%LASTNAME_COM%]
[%BIRTHDATE%]
[%COMPANY_NUMBER%]
[%COMPANY_NUMBER_VAT%]
[%RESIDENCE_STREET%]
[%RESIDENCE_NUMBER%]
[%RESIDENCE_CITY%]
[%RESIDENCE_ZIP%]
[%PHONE%]
[%EMAIL%]
[%CONTACT_STREET%]
[%CONTACT_NUMBER%]
[%CONTACT_CITY%]
[%CONTACT_ZIP%]
[%INVOICE_PAYMENT_TYPE_4%]
[%INVOICE_PAYMENT_TYPE_2%]
[%DEPOSIT_PAYMENT_TYPE_1%]
[%BANK_ACCOUNT_NUMBER_OR_PAYMENT_CARD_TEXT%]
[%BANK_CODE%]
[%SIPO_NUMBER%]
[%PROVIDER_TEXT%]
[%SUPPLY_POINT_EIC_1%]
[%SUPPLY_POINT_EIC_2%]
[%SUPPLY_POINT_EIC_3%]
[%SUPPLY_POINT_EIC_4%]
[%SUPPLY_POINT_EIC_5%]
[%SUPPLY_POINT_EIC_6%]
[%SUPPLY_POINT_EIC_7%]
[%SUPPLY_POINT_EIC_8%]
[%SUPPLY_POINT_EIC_9%]
[%SUPPLY_POINT_EIC_10%]
[%SUPPLY_POINT_EIC_11%]
[%SUPPLY_POINT_EIC_12%]
[%ANNUAL_CONSUMPTION_GAS_MWH%]
[%DEPOSIT_AMOUNT%]
[%DEPOSIT_FREQUENCY_12%]
[%DEPOSIT_FREQUENCY_4%]
[%SUPPLY_POINT_STREET%]
[%SUPPLY_POINT_NUMBER%]
[%SUPPLY_POINT_CITY%]
[%SUPPLY_POINT_ZIP%]
[%PRODUCT%]
3