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   Registration
Access Data
Complete this form to use our e-shop.
All fields marked with * are compulsory.
For each field there is additional information concerning required information.
User name:*
(Your login is Your identificator. It may contain any symbols, but not less than four!)
Password:*
(You need Your password and login to access the e-shop. Minimum length allowed is of four symbols. Chose carefully Your password!)
Repeat password:*
Client information:
Personal Name:*
Forename:*
Surname:*
E-mail:*
(Please enter in this field your e-mail for notifications in case of forgotten password and order processing.)
City:*
Address:*
Telephone:
Telephone format should be +359 52 1111
Mobile:
Fax:
Web-address
Invoice data
Delivery invoice data
Company name:
City:
Company address:
Tax number:
BULSTAT:
Responsible:
Civil ID:
Receiver address information: [copy from information about client]
Please note that on this addres shall be delivered the orders from the e-shop except where you decide to change the delivery address when confirming order
Full names:
E-mail:
Region:
State:
City:
Post Code:
Address:
Telephone:
Telephone format should be +359 52 1111
Mobile:
Fax:
Other information (256):
Would you like information about our new products?
MOL - transaction responsibe person
*-Compulsory field to complete!