Registration

Please complete the form below and confirm at the bottom of the page, sending it to us by pressing the "send this form"

General company data

Company name :

Street and number :

Postal Code :

City :

Country :

tax number :

REGON number - only to customers registered in Poland :

E-mail - e-invoices (to this address will be sent an invoice in electronic form in PDF format):

E-mail - e-Wz (to this address will be transmitted delivery documents electronically in PDF format - eg. e mail of your logistics department):

Address for correspondence

Address other than the address of registration

Company name :

Street and number :

Postal Code :

City :

Country :

Administrator data

This person must be authorized to make financial commitments on behalf of the company

First name :

Last name :

E-mail :

Phone number (The number with country prefix +48):

Mobile phone number (The number with country prefix +48):

Skype :

GG :

Password:

Repeat password:

The person responsible for placing orders

First name :

Last name :

E-mail :

Mobile phone number (The number with country prefix +48):

Phone number (The number with country prefix +48):

Skype :

GG :

The person responsible for financial and payment

First name :

Last name :

E-mail :

Mobile phone number (The number with country prefix +48):

Phone number (The number with country prefix +48):

Skype :

GG :

The person responsible for accepting deliveries

First name :

Last name :

E-mail :

Mobile phone number (The number with country prefix +48):

Phone number (The number with country prefix +48):

Skype :

GG :

The person responsible for complaints and service

First name :

Last name :

E-mail :

Mobile phone number (The number with country prefix +48):

Phone number (The number with country prefix +48):

Skype :

GG :

Additional comments:

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