REQUEST FOR PROPOSAL AND CONTACT

Company name*: Name*: Company e-mail*: Annual energy cost*: Telephone:

CONSUMPTION DATA

Electricity: kWh Gas: m³ Number of consumption locations:

Those marked by an asterisk should be filled out!

CYEB Energy Solutions Ltd.

2000 Szentendre, Dobogókői út 1.

Tel.: +36 (21) 200 CYEB, +36 (21) 200 2932

Fax: +36 (26) 200 293

info@cyeb.eu, www.cyeb.eu