Application for BRENNERPASS

Select the type of Service Provider

Axxés Telepedaggio Europeo
DKV Euro Service Telepedaggio Europeo
Telepass
Telepass Telepedaggio Europeo
UnipolTech Telepedaggio Europeo
TollTickets

Surname

Name

Fiscal code

Country

Permanent address

City

Postal code

Province

Phone

Toll contract n

PAN code

License plate

I request

the activation of the Brennerpass toll discount
the renewal of the Brennerpass toll discount
the variation of the previously declared route
the reactivation of the Brennerpass toll discount after a change of device
the withdrawal of the Brennerpass toll discount starting from

for the round trip route

Entry tollgate

Exit tollgate

in my capacity as

employee (employer’s statement is attached)
freelance (certificate of incorporation or similar document is attached)
student (enrollment or attendance certificate is attached)

I enclose my identity card

I have read the Informative notice on the processing of my personal data.

By submitting the request I also declare that I have read the rules and conditions of the Service.

I consent to the use of my contact details for sending information material relating to initiatives promoted by Autostrada del Brennero SpA and initiatives and events concerning the territories crossed by the A22 motorway section

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