Company name [please enter the name of your company here] First name Last name [please enter your first name and last name] Address [please enter here the full address of your company]

Such. : [Please enter your phone number here] Fax: [Please enter your fax number here] E-Mail: [Please enter your e-mail address here]

Registration in the Trade and Companies Register Registration number: [Please enter your registration number here]

VAT identification number [Please enter here your VAT identification number]

VAT number: [Please enter your intra-Community VAT number here]