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Kennitala (social security number) *
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Nafn fyrirtækis (company name) *
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Heimilisfang (address) *
Heimilisfang, bæjarfélag
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Bæjarfélag (zip code) *
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Símanúmer (phone number) *
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Farsími (cell phone) *
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Tengiliður (contact name) *
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Netfang (email address) *
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Skrá mig á póstlista Stillingar sem sendir út markaðspóst með ýmsum tilboðum og tæknilegum upplýsingum
Netfang bókhalds (email for receiving bills) *
Netfang fyrir móttöku reikninga (email for receiving bills)
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Úttektaraðilar Nafn og kt (Appraisal agents/ssn)
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Tegund starfsemi (type of business) *
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Fjöldi starfsmanna (number of employees) *
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Fjöldi lyfta (number of car lifts) *
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Aðrar upplýsingar (Other information)
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