29 June 2017, Thursday

Agency Registration Form

Name of the agency *
Vat Number
Fiscal code (if unknown, put decimal point)

Corporate name *
Address *
Zip code *

Country *
City *

Telephone *
Fax *

Office Email *
Accounting Dept. E-mail *

Business description
Outgoing   Incoming

Website
How did you hear about us?

Region
Province

Attention: in occasion with the new low, we ask new clients to insert ALWAYS the VAT, even if it coincides with the Fiscal Code.

Agency administrator form

Name of the manager or owner *
E-mail *
Userid (5-12 char.) *

Password (5-12 char.) *
Repeat Password *

(*) Compulsory

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