Customer no.*
Your customer number can be found on any previous SUISA invoice(s) or correspondence.
e.g. 0.0111.111
Legal form*
First name*
Name
Company*
Please change the following*
Should the change of the customer’s address coincide with a change of name, please tick this box.
Falls mit der Änderung der Kundenadresse gleichzeitig auch eine Namensänderung stattfindet, bitte diese Checkbox auswählen.
Previous name*
Title*
Company / Name*
Name*
c/o
Street*
No.
Post Code*
Town*
Country*
Telephone*
Please enter the telephone no. as follows: Example Switzerland: 044 485 66 66 Example abroad: +41 44 485 66 66
Mobile
Please enter the mobile no. as follows: Example Switzerland: 079 485 66 66 Example abroad: +41 79 485 66 66
E-Mail
Homepage
Valid from*
Other legal form*
Commercial register entry*
New correspondence address is*
Addition to address
e.g. Richmond House, c/o lawfirm xyz
P.O. Box
E-mail*
Department
Contact
Direct line
Please enter the direct line as follows: Example Switzerland: 044 485 66 66 Example abroad: +41 44 485 66 66
FAO*
e.g. accounting, marketing, administration
Please provide us with your e-mail address so that we can send you a copy of your change of address.
Do you have any further information for us?
I herewith confirm that the information given herein is correct and complete. I acknowledge the General Terms and Conditions of business as well as the provisions of the data protection declaration on the SUISA website.*
Submitted on
Important note:
Please click only once on the send button and wait until the transmission of the form has ended. Clicking the send button several times leads to transmission errors.
Do you need any help completing this form?
+41 44 485 66 66
Client desk