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Company data / Invoice data

Company name:

TIN:

Mobile phone:

Phone (optional):

Email for registration confirmation:

Street, house number:

Postcode:

City:

Voivodeship:

Country:

Contact People

Emails about order will be sent to the first Contact Person

Full name:

Email address:

Mobile phone:

Position:

Type of business

Stationary shop

Name:

Website (optional):

Facebook (optional):

Street, house number:

Post code:

City:

Voivodeship:

Country:

Online shop

Name:

Website:

Facebook (optional):

Street, house number:

Post code:

City:

Voivodeship:

Country:

Sale on Allegro (or other auction site)

Other business activity

Other information

The aquarium brands you trade:

Other information that may facilitate the verification process and be useful for cooperation:

Company registration documents

I have CEIDG

Don't have CEIDG

I give my agreement to process my personal details to receive emails informations to the address I provided in according to the law. *

I give my agreement to proces my personal details to fulfill possible orders by company AQUARAY according to the act of from day 29 August 1997on personal details protection (Dz.U.02.101.926). I declare that I have been informed that my personal information is given as a voluntary and that i have the right for viewing corrections,deletions and control of your personal informations. Request to delete personal information it may be done by sending the order electronically to the e-mail address: hurt@aquaray.pl. *

Agree to receive e-mail with the price list and information on current offer and promotions.

*- Fields required