Registration Form - Verdnatura

Registration FormJulia Peris2023-04-24T23:54:19+02:00

Customer registration form

PREVIOUS INFORMATION

How did you hear about us? *

Type of business *

APPLICANT'S DETAILS

Commercial name *

Company name *

VAT NUMBER / TAX IDENTIFICATION NUMBER *

Equivalence surcharge

Upload copy of Form 036 or 037 (Spain) or Business Registration Document

BILLING ADDRESS

Address *

Address details

Location *

Postcode *

Province *

Country *

Mobile phone *

Telephone

E-mail address *

Name of the contact person *

Observations

SHIPPING ADDRESS (ONLY IF DIFFERENTE FROM BILLING ADDRESS)

Address *

Address details

Location *

Postcode *

Province *

Country *

Mobile phone *

Telephone

E-mail address *

Name of the contact person *

Observations

I have read and accept the privacy policy.

We already have your details! Your application has been sent and has entered the validation phase. As soon as it is accepted (24-48h) one of our sales representatives will contact you to inform you about the purchase process and provide you with your access details.

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