Richiesta registrazione rivenditori

Required registration for new stores

Please fill in this application to obtain the registration. We will contact you as soon as possible.
Fields with *are mandatory information.

Full name

Company

Internet Site

Phone

Cell. phone

Fax number

VAT / Federal Identification #

IBAN

Yes

City

State / Province

Country

Billing address

Shipping address

Describe your activities and pls. mention a few brands that you run in your store

By sending this information i authorize the use of my personal data according to the italian legislative decree n. 169/2003

I agree with the processing of my personal information pursuant to the personal data protection code "click here to view it"