SELECT A HIGH VOLTAGE SUBSCRIBER
  Name of the enterprise    
     
  The identifier of the invoice of the enterprise
   
  The Reference of the invoice of the enterprise 1250    
         
Telephone number of the enterprise +1  
Fax number of the enterprise +1  
Plot number where the enterprise is located  
District where the enterprise is located  
  Mailing address of the enterprise    
         
  Your last name    
  Your first name    
  Your phone number +1    
  Your fax number +1    
  Your mailing address    
         
  Your email address    
         
  Your password    
         
Confirm the identifier of the invoice 1250  
  Confirm your password    
  Confirm the reference of the invoice 1250    
  Confirm your email address