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Access to INTERGIS Mobile

Member number *

Breed *

ID Number *

HDM *

Prefix *

Title *

Surname and Initials *

Address *

Email address *

Telephone

Fax

Cellphone *

Magisterial district where your farm is situated *

By ticking "Yes" in the checkbox, I hereby undertake to pay any cost which may be incurred with my use of the Intergis programme. I undertake to adhere to all the stipulated regulations of Intergis 2000.