Manual Fiber lead creation

Data

Employee ID {{errorMessages.PERID.required}} {{errorMessages.PERID.pattern}} {{errorMessages.PERID.pattern}} {{errorMessages.PERID.pattern}} {{errorMessages.PERID}} {{errorMessages.PERID.pattern}}

Customer ID It can be found on the left corner of your last bill or payment statement, next to the document number {{errorMessages.CusI.required}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI}} {{errorMessages.CusI.pattern}}

{{errorMessages.lomKey}} The field is mandatory

Lead Type

RES MKT

RES RMKT

SE MKT

SE RMKT

Remarks (optional) {{errorMessages.remarks.required}} {{errorMessages.remarks.pattern}}

I would like to be kept informed about products, services, contests and promotions of Proximus. To this end, Proximus may store my personal data in its files and may contact me, including by phone and via electronic channels such as e-mail, SMS and social media. I’m aware that my data is processed in accordance with Proximus' privacy notice which informs me how to manage my privacy settings.

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Manual Fiber lead creation

Data

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Data

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