This form is only valid for balance inquiry.

Footnote at the invoice may help to fill out the form. Click here!

Place and Address of the use, correct name of the settlement:
Write the first capital of the settlement. Choose the correct name of the settlement from the drop-down menu. Please do not include zip code or other data in this field!

DRV Co. Customer Service sends the balance statement to the e-mail address indicated in the form.

MAKE A BALANCE INQUIRY
User's name (company name) *!
Business partner identifier *!
Place and Address of the usage	Settlement *!
	Zip code!
	Street *!
	Number *!
E-mail *!
Phone number
Mobile Phone number
Bank account number *!

* = These are mandatory fields!