Passerkort

Company Name*

Land*

Contact Person*

Phone or cellphone number*

E-mail*

Organisation Number*

Employed at a company stationed in Piteå Hamn Hired consultant, supplier, service company, contractor, transporter Authority

First Name*

Last Name*

Phone or Cellphone nr*

E-mail*

Billing Address

Postcode / City

Your Invoice Address

PDF Invoice E-Mail

300 sek./card excl.VAT

EDI / VAN operator*

Estimated Passage Frequency

For what purpose do you apply for a pass and what tasks will be performed?*

I hereby acknowledge receipt of valid harbour regulations for the port of Piteå. I guarantee that the information given above is correct.

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Information for applicant company