Client contact form

First name:
Last name:
Postal code:
Street, City:
Country:
Date of birth:
Nationality:
Phone:
Fax:
E-mail:
I am interested to obtain information on the following services / products of AP Anlage & Privatbank AG:
	Current account	Payment cards
	Term deposit account	Remote Management
	Investment account
	Other (please specify)

I’m planning to open an account and conduct banking activities as a:
	private individual
	legal entity
I’m planning to deposit / invest:
	Minimum requested amount 50 000 CHF/USD/EUR
	From 50,000 to 200,000 CHF/USD/EUR
	From 200,000 to 1,000,000 CHF/USD/EUR
	Above 1,000,000 CHF/USD/EUR
Please contact me:
	by e-mail
	via facsimile
	by mail
	by phone

Comments: