Confirmation on fulfillment of webpage requirements

The Merchant

By filling the form confirm, that your webpage fulfil requirements for the communication, webpage content and design.

Are you a Luminor customer?

Yes
No

Personal data

Name *

Surname*

Personal ID*

E-mail *

Phone number*

The Merchant

Legal entity’s name*

Legal entity’s registration number*

Name and surname of Merchant's representative*

Position / basis of representation*

Leave this field blank