Zgłoś stan wodomierza

GZGK > Zgłoś stan wodomierza

Podane poniżej informacje zostaną przesłane do Gminnego Zakładu Gospodarki Komunalnej w Osieku w celu naliczenia opłaty za zużytą wodę i ścieki.

Pola oznaczone gwiazdką (*) są wymagane

Imię*	Nazwisko*	Numer telefonu
Miejscwość*	Ulica*	Numer domu*
Zaznacz liczbę posiadanych wodomierzy. Jeden wodomierzDwa wodomierze (jeśli posiadasz)		Stan licznika wodomierza*
Stan licznika pierwszego (głównego) wodomierza* Stan licznika drugiego wodomierza*		Data odczytu:*
Chcę otrzymać na e-mail potwierdzenie wysyłki TAKNIE		Podaj adres e-mail*
Wyrażam zgodę na przetwarzanie moich danych osobowych przez Gminny Zakład Gospodarki Komunalnej w Osieku w celu zdalnego przekazania stanu wodomierza.

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