Appendix no. 1

Customer’s details:

Company: ……………………………..

……………………………..

……………………………..

Address: ……………………………..

……………………………..

NIP [Tax Identification Number]: ……………………………..

REGON [Statistical Number]: ……………………………..

To: Raben Logistics Polska sp. z o. o.

ul. Zbożowa 1

62-023 Robakowo

[●]

Re: Approval to receive invoices in an electronic form

Pursuant to § 106n of The Goods and Services Tax Act dated March 11, 2004 (consolidated text dated July 29, 2011, Journal of Laws no 177, item 1054, as amended), I hereby

grant the approval

to issue e-invoices by Raben Logistics Polska sp. z o.o. for services rendered to our company.

I accept that the invoices for the services rendered to our company may be issued by Raben Logistics Polska sp. z o.o. as PDF files (in portable document format) and then sent to us
via electronic mail (e-mail).

I hereby designate the following e-mail address to receive e-invoices issued by Raben Logistics Polska sp. z o.o.:

…………………………… ……………………………..

I hereby acknowledge and accept that:

1)  The change of the e-mail address designated to receive e-invoices issued by Raben Logistics Polska sp. z o.o. requires a written notification of Raben Logistics Polska sp. z o.o. The change of the e-mail address shall be effective from the next settlement period in which Raben Logistics Polska sp. z o.o. receives the appropriate notification.

2)  Failure to inform Raben Logistics Polska sp. z o.o. about the change of the e-mail address shall result in releasing Raben Logistics Polska sp. z o.o. from the liability for ineffective delivery of the issued invoice.

3)  This approval does not exclude the right of Raben Logistics Polska sp. z o.o. to issue and send invoices in a paper form.

4)  This approval to receive e-invoices may be withdrawn at any time.
In the case of withdrawal of the approval, the next invoices shall be issued
by Raben Logistics Polska sp. z o.o. in a paper form, effective from the day following the day on which Raben Logistics Polska sp. z o.o. receives a statement on withdrawal of the approval to receive electronic invoices.

Date: …………………… Signature: ……………………………..