REQUEST FOR WATER SUPPLY CONTRACT

........................................................................................................
CC/ BI no. ......................................................................................... NIF

Telephone Mobilephone

I request a water supply contract for:

Housing Office / Commerce / Industry Works

Other to specify:.......................................................................................................................................................................................................................................................

LOCATION OF THE BUILDING

Street

To walk:......................................
Freguesia

For such attachment, photocopy of the documents (see reverse):

Updated property booklet Identity card (BI) / Citizen card (CC)

you
Purchase deed Customer tax identification number
or
Lease Agreement
or
License of the work

SIGNATURES

1. In the case of the client being an individual (signature according to ID / CC):

Ass.:......................................................................................... .............. ................................................................................................................

2. In the case of the client being a legal entity (signature of legal representative according to BI/CC):

Ass.:.............................................................................................................................................. .............. ..........................................................

Note:
Updated reading of the meter:...................................................Installation no................................................................................................................

(Only in case of a change of contract holder)

IMP_DCA_02–01.2020
 ADDITIONAL INFORMATION

1.DOCUMENTS TO SEND (photocopies)

▪ Identity card/Citizen card

▪ Tax identification number
▪ Updated property booklet or purchase deed in case you do not have it yet.
the property record has been issued (maximum period of 1 year) - In case of being
owner. Exceptionally, the presentation of may still be required
updated property registry certificate.
▪ Lease contract or landlord's authorization accompanied by
accompanied by a power of attorney that grants legal authority for this purpose - in this case
of being a tenant.
▪ Work license. If you are not the holder, display the adjudication document. It is
essential to indicate the location for sending invoices (via CTT) - For
construction counters
▪ Commercial certificate – in the case of being a commercial company

2. PERSONAL DATA

I expressly authorize the processing of this personal data for the purposes of
registration, for contact, for joining services or for communication purposes
of the products and services Águas de Gaia, in accordance with the terms and conditions of
Privacy Policy that is available atwww.aguasgaia.pt. I am
aware that I can exercise my data protection rights, namely,
of information / additional clarifications about security measures
implemented as well as on the concrete deadlines for conservation, access,
request, correction, opposition to the processing or deletion of my data,
through the emailproteccaodados@aguasgaia.pt.

3. INVOICE SENDING AND PAYMENT METHOD

Electronic invoicing. Easier, faster, and more sustainable.

To subscribe to the electronic invoice, please provide us with the sending email:

………………………………………………………………..…..……@...............................………..

Address of the building

Another address:
........................................................................................................................:etS
rt

No……………….. Floor………………………… Postal Code…………………-………………..

To make the payment of water bills by bank transfer, you must
indicate the banking institution, the respective IBAN number and authorize the transfer.

Banco
...............................................................................................................................S
.gi.nu.aetr:

Vila Nova de Gaia,......of....................................of.............

IMP_DCA_02–01.2020