HomeHrvatskiSite MapContacts
HEP d.d.
   
 
   Request for Contract

If you want to enter into an electricity supply contract with HEP Opskrba, please fill out the form below with basic information on your company and the supply contract will be sent to you by mail to your company's address. We guarantee that the information you provide will be for internal use only.

Fields marked with an asterisk * are required.
Full name of the company: *  
OIB (Personal Identification Number): *
Line of business (as registered): *
Abbreviated name of the company: *
Address: *  
Zip code and place: *  
Telephone: *  
Fax: *  
Email address: *
Email address for sending of bills: *
Identification number entered in the court register: *  
Transaction account: *  
Contact person in the company 1: *  
Contact person in the company 2:
Authorized signatories:  
Name and surname, job title: *  
Name and surname, job title:
Name and surname, job title:
Data on metering points  
1.  
Number of metering points (total): *
Number of the metering point
(max 10 digits e.g. 0904456788): *

Name of the metering point
(e.g. name and surname or company name): *

Address of the metering point: *

Tariff model (e.g. ENTREPRENEURS WHITE): *

Total planned annual consumption: *
(sum of monthly consumption in kWh)

2.

 
Number of the metering point
(max 10 digits e.g. 0904456788):

Name of the metering point
(e.g. name and surname or company name):

Address of the metering point:

Tariff model (e.g. ENTREPRENEURS WHITE):

Total planned annual consumption:
(sum of monthly consumption in kWh
3.  
Number of the metering point
(max 10 digits e.g. 0904456788):

Name of the metering point
(e.g. name and surname or company name):

Address of the metering point:

Tariff model (e.g. ENTREPRENEURS WHITE):

Total planned annual consumption:
(sum of monthly consumption in kWh
4.  
Number of the metering point
(max 10 digits e.g. 0904456788):

Name of the metering point
(e.g. name and surname or company name):

Address of the metering point:

Tariff model (e.g. ENTREPRENEURS WHITE):

Total planned annual consumption:
(sum of monthly consumption in kWh
   
   



 
www.hep.hr HEP Group Pravne napomene/legal noticies Legal noticies
Member of HEP Group, Ulica grada Vukovara 37, 10000 Zagreb, tel: +385 1 63 23 900, fax: + 385 1 63 22 409