Objection to the invoice from the Reproduction Rights Organization

Name
Gender male female
Company
Position
Street/Number
Postcode
Town
Telephone
Fax
E-mail
Website
   
Chamber of Commerce no.
Sector

Only forms completed in full can be processed.
Reference Number Reproduction Rights Organisation
Debtor Number Reproduction Rights Organisation
Date of 'invoice' or 'calculation'
You possess a photocopier: Yes   No
Employee categorie  SECTOR Invoice amount
Remarks

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