[%TITLE_BEFORE%]
[%FIRSTNAME%]
[%LASTNAME%]
[%DD1%]
[%DD2%]
[%DOT_DATE%]
[%MM1%]
[%MM2%]
[%DOT_DATE%]
[%YY1%]
[%YY2%]
[%YY3%]
[%YY4%]
[%FULLNAME_OR_COMPANY_OR_NULL%]
[%COMPANY_NUMBER%]
[%COMPANY_NUMBER_VAT%]
[%RESIDENCE_STREET%]
[%RESIDENCE_NUMBER%]
[%RESIDENCE_CITY%]
[%RESIDENCE_ZIP%]
[%PHONE%]
[%EMAIL%]
[%FULLNAME_CONTACT_SAME_AS_PRESIDENCE%]
[%CONTACT_STREET%]
[%CONTACT_NUMBER%]
[%CONTACT_CITY%]
[%CONTACT_ZIP%]
[%INVOICE_PAYMENT_TYPE_2%]
[%INVOICE_PAYMENT_TYPE_4%]
[%DEPOSIT_PAYMENT_TYPE_1%]
[%SIPO_NUMBER_1%]
[%SIPO_NUMBER_2%]
[%SIPO_NUMBER_3%]
[%SIPO_NUMBER_4%]
[%SIPO_NUMBER_5%]
[%SIPO_NUMBER_6%]
[%SIPO_NUMBER_7%]
[%SIPO_NUMBER_8%]
[%SIPO_NUMBER_9%]
[%SIPO_NUMBER_10%]
[%BANK_ACCOUNT_NUMBER_1%]
[%BANK_ACCOUNT_NUMBER_2%]
[%BANK_ACCOUNT_NUMBER_3%]
[%BANK_ACCOUNT_NUMBER_4%]
[%BANK_ACCOUNT_NUMBER_5%]
[%BANK_ACCOUNT_NUMBER_6%]
[%BANK_ACCOUNT_NUMBER_7%]
[%BANK_ACCOUNT_NUMBER_8%]
[%BANK_ACCOUNT_NUMBER_9%]
[%BANK_ACCOUNT_NUMBER_10%]
[%BANK_ACCOUNT_NUMBER_11%]
[%BANK_ACCOUNT_NUMBER_12%]
[%BANK_ACCOUNT_NUMBER_13%]
[%BANK_ACCOUNT_NUMBER_14%]
[%BANK_ACCOUNT_NUMBER_15%]
[%BANK_ACCOUNT_NUMBER_16%]
[%BANK_CODE_1%]
[%BANK_CODE_2%]
[%BANK_CODE_3%]
[%BANK_CODE_4%]
[%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%]
[%SUPPLY_POINT_STREET%]
[%SUPPLY_POINT_NUMBER%]
[%ANNUAL_CONSUMPTION_GAS_MWH%]
[%SUPPLY_POINT_CITY%]
[%SUPPLY_POINT_ZIP%]
[%PROVIDER_TEXT%]
[%DEPOSIT_AMOUNT_10000%]
[%DEPOSIT_AMOUNT_1000%]
[%DEPOSIT_AMOUNT_100%]
[%DEPOSIT_AMOUNT_10%]
[%DEPOSIT_AMOUNT_1%]
[%DEPOSIT_FREQUENCY_SHORT%]
3
[%PRODUCT%]
L
G
3
2