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Code banque e BIC

Code banque	78350000
BIC	BYLADEM1COB

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Personal details

Title*:

Title:

First name*:

Name*:

Street, No.*:

Postcode*:

Residence*:

Date of birth*:

E-mail*:

Phone:

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yes

IBAN or Account number*:

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Contact request*:

I want to make a consultation appointment.

I want to arrange a call-back.

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Date*:

between (o'clock)*:

o'clock

and (o'clock)*:

o'clock

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Please confirm the appointment.

Appointment confirmation*:

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Message:

Il vous reste 500 caractères.

500 caractères en trop

Date*:

between (o'clock)*:

o'clock

and (o'clock)*:

o'clock

Phone*:

Message*:

Il vous reste 600 caractères.

600 caractères en trop

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Please note that this form cannot be used to give legally binding instructions (e.g. making bank transfers, ordering securities, cancelling a card, approving debit entries from direct debits) and that such instructions can only be given through our online banking centre, by telephone or conventional means.

* Champ obligatoire