Registration of a customer

Registration details (Billing information)- Items marked red must be completed. Company (first name and surname of the customer):
Sales representative's given name:
Sales representative's surname:
Street:
House number:
Postcode:
Town/City:
Telephone:
Country:

Identification data of the company Company ID:
VAT:

The delivery address is identical to the billing address.:

(The delivery address differs from the billing address., Please complete, including company name or first name and surname.) Company (first name and surname of the customer):
Delivery street:
House number:
Postcode:
Town/City:
Telephone:
Country: