[%FIRSTNAME%] [%LASTNAME%]
[%BIRTHDATE%]
[%RESIDENCE_STREET%] [%RESIDENCE_NUMBER%] [%RESIDENCE_ZIP%] [%RESIDENCE_CITY%]
[%CONTACT_STREET%] [%CONTACT_NUMBER%] [%CONTACT_ZIP%] [%CONTACT_CITY%]
[%CONTACT_SAME_AS_RESIDENCE%]
[%EMAIL%]
[%PHONE%]
[%SUPPLY_OR_NULL%]
[%ANNUAL_CONSUMPTION%]
[%SUPPLY_SAME_RESIDENCE%]
;
[%RATE_1%]
[%RATE_2%]
[%RATE_5%]
[%RATE_10%]
[%RATE_3%]
[%RATE_4%]
[%RATE_22%]
[%RATE_6%]
[%RATE_8%]
[%RATE_9%]
[%RATE_24%]