floMOBIL registration form

Salutation*

First name*

Surame*

Date of birth*

Road*

Number*

Post code*

Place*

Phone Number

Mobile Phone Number*

E-Mail address*

Password*

Repeat Password*

Choice of tariffs, driving license and bank details

When you activate your account at the floMOBIL location, you can choose between the two tariff models Flex and Premium. Please inform yourself in advance at https://flo-mobil.com/en/rates/

Driving license number *

Driving license issue date*

Driving license issuing location*

Driving license classes*

IBAN*

BIC*

Account owner

I agree to the debit of due amounts by SEPA direct debit*

Overview

I accept the general Terms and Conditions*

Hier findest Du unsere Allgemeinen Geschäftsbedingungen.

I agree to the transfer and storage of my personal data and conclude the contract against payment*

I acknowledge and agree that the contract is concluded for an indefinite period and is subject to a minimum contract term of twelve months, so that I can only terminate the contract after this expiry period in accordance with points 21.1 and 22.2 of the General Terms and Conditions.*

YES, I would like to receive advertising and information about the "flo mobil" sharing offer and I consent to the processing of my first and last name and my email address. I can revoke this consent at any time, whereby I can send my declaration in this regard to info@flo-mobil.com.