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Surname *

Company *

Registered office address *

Zip Code *

City *

Province *

Nation *

Registered office and administrative office coincide

Administrative office address

Zip Code

City

Province

Nation

Vat Number *

Fiscal Code *

Bank details - IBAN *

Phone *

Fax

E-mail *

PEC *

Unique electronic invoicing code *

Website

Contact person ADMINISTRATION:

Mr/Mrs

Email

Contact person SALES OFFICE:

Mr/Mrs

Email

Contact person PURCHASING DEPARTMENT:

Mr/Mrs *

Email *

Contact person TECHNICAL OFFICE:

Mr/Mrs

Email

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