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Hiermit teile ich Ihnen den Austausch meines Gartenwasserzählers mit.
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Email
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Your email
Vorname
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Your answer
Nachname
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Your answer
Anschrift / Straße / Nr.
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Your answer
PLZ/ Ort
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Your answer
Telefon (Zur Terminvereinbarung für die Plombierung des neuen Zählers)
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Your answer
Datum des Austausches
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MM
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DD
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YYYY
Einwilligungserklärung
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Ich habe die Erklärung zur Informationpflicht (Datenschutzerklärung) gelesen und zugestimmt
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