Klimt02 : Payment form for IP access

Lokator: world wide Klimt02 connections map

If you need more information, please contact with Leo Caballero

by mail: klimt@klimt02.net
by phone: 00 34 933687235

Barcelona. Spain

...............................

hourly: monday to friday
from 10:30 am to 19 pm

Payment form for IPs

Fill in the form with your personal details to make the invoice of your payment and send you a copy. For your interest, when filled in please print it before submiting. Thank you.

_ Personal details

first name

last name

postal address

city

country

telephone

profession

VAT number
(ONLY FOR EU COUNTRIES)

e-mail

_service access by IP range
Choose the size of your organization (# of users)			Annual Fee
		1 - 50 members	200 Euro / year
		51 - 100 members	273 Euro / year
		101 - 300 members	360 Euro / year
		More than 300 members	405 Euro / year
	Price: 0 € / year TAX: 0 € / year Total: 0 € / year

_ Select method of payment

_ 1. Credit card ( recommended option: secure and no commissions for you)

The payment is done through the web of Caixa Galicia, that it has a secure server (https), where you will be able to conduct the operation with your credit card.
The data of your credit card are only transacted and known by the bank.

_2. PayPal

_ 3. Bank transfer

Deposit to:
Klimt02 S.L
VAT: B65107690

CAIXA GALICIA. Oficina urbana 9 de Barcelona
C. Major de Gràcia, 108
08012 Barcelona. España
tel: +932 176 608

Account number: 2080 0629 49 3041004257
IBAN code : ES83 2080 0629 4930 4100 4257
BIC: CAGLESMMXXX

>> for your interest, please, print this document before submiting it

_ protection of the information: We guarantee you the total protection of the personal details given by you because we use an advanced secure system that encodes the information while sending it.

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