Registration form

Company name:*

Trading name:

Contact person(s):*

Trading address:

Adress:*

City:*

Postcode:*

Country:*

Telephone:*

Mobile:

Email:*

VAT no:

Company reg. no:*

Delivery Address or
other branches:

Business Clasification:*
Independent ShopMultiple ShopDepartment StoreMobile ShopOnline BusinessEvents Trader

Core Business:

Target Market:

References:

Notes:

Please upload proof
of address here:*

*Required