Agency Registration Form

Name of the agency *
V.A.T. Number
Fiscal code (if unknown, put decimal point)

Business name *
Address *
Zip code *

Country *
City *

Telephone *
Fax *

E-mail *
Accounting Dept. E-mail *

Business description
Outgoing   Incoming

Website
How did you hear about us?

Area
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 *
User ID (5-12 char.) *

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

(*) Compulsory

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