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First and last name or company/institution name – requiredE-mail address – requiredResidence address or company/institution registered office address – requiredNIP (obligatory for VAT invoices for companies/institutions) – requiredText of your message – requiredAttachment – attach confirmation of payment or scan of receipt – required

First name and last name – requiredAdres e-mail – requiredBlock ticket number – obligatory when returning the block ticketText of your message – requiredAttachment – attach confirmation of payment or scan of receipt – required

First and last name or company/institution name – requiredE-mail address – requiredIncident date – requiredCasualty first and last name – requiredText of your message – requiredAttachment – required

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