Online Products / Services Sales Purchase. Online Form. Purchase Informations

First Name *
Last Name *
Identity Card Serial and Number(if company, leave blank)
Company Name (if private person, leave blank)
Telephone *
Fax *
Address *
City *
Country *
Contact / Company E-mail *
Contact / Company Website (if any)
Job Position (if private person, leave blank)
Fiscal Code (if private person, leave blank)
Registry of Commerce code (if private person, leave blank)
Bank Name
Bank IBAN Account
Type of product / service required *
Subscription type *
Installation location(s) *
Do you need Lamit 2Pro Server/Router/Accelerator ? *
How many PC's do you plan to sustain with our connection ? *
Will you use VoIP or VPN ? (if yes specify details)*
Using the connection for *
Type of contract desired (leasing and monthly rates, only for Romania) *
Forward your message to *
How did you hear about us ? (please be specific) *
Other Comments*
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The partner request form, is available here : Partnership form

Terms & Conditions

- We, Lamit Company, agree that all the informations present here, will be used only in the purpose for which they were originally sent, and that they are strictly confidential. Also, none of the informations sent to us, will be made available to third-party's.
- You agree, that by offering false, inaccurate, misleading or wrong informations, in this form, You may be submitted to legal pursue, and are to be judged after Romanian and international laws.

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