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Would you like to be kept informed about the roll-out of fiber and thus receive all related commercial offers? Please complete the form below.

By submitting this form, I consent that Proximus, as data controller, stores my personal data, included in this form, in its records in order to contact me by telephone, post and/or digital channels (email and/or SMS) to inform me about the roll-out of fiber and thus receive all related commercial offers. I have the right to withdraw my consent at any time. My data will be processed in accordance with the Proximus privacy policy, which informs me how to withdraw my consent.

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Last Name {{errorMessages.LastName.required}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName}} {{errorMessages.LastName.pattern}}

Email address {{errorMessages.MAILBACKADDR.required}} {{errorMessages.MAILBACKADDR.pattern}} Please match the e-mail address above {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR.pattern}} {{errorMessages.MAILBACKADDR}} {{errorMessages.MAILBACKADDR.pattern}}

Country Code {{errorMessages.CALLBACKCLICountry.required}} {{errorMessages.CALLBACKCLICountry}}

Your phone number to reach you quickly {{errorMessages.CALLBACKCLIPhone.required}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone.pattern}} {{errorMessages.CALLBACKCLIPhone}} {{errorMessages.CALLBACKCLIPhone.pattern}}

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I would like to be kept informed about Proximus products, services, contests and promotions that may be of interest to me. To this end, Proximus, as data controller, may store my personal data (the data on this form and the context in which they were collected) in its records in order to personalize communications based on my interests, inferred from my participation to events and contests, and may contact me, including by phone and via electronic channels (email, and/or text message/SMS). I know that I have the right to withdraw my consent at any time and that my data is processed in accordance with the Proximus privacy policy, which informs me how to adjust my privacy settings and how to withdraw my consent.

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