First
Second
Legal Entity Name
*
Trading Name
Straße
*
Stadt
*
Region
Land
*
AD - Andorra
AL - Albania
AT - Austria
BA - Bosnia-Herz.
BE - Belgium
BG - Bulgaria
CH - Switzerland
CZ - Czech Republic
DE - Germany
DK - Denmark
EE - Estonia
ES - Spain
FI - Finland
FR - France
GB - United Kingdom
GR - Greece
HR - Croatia
HU - Hungary
IE - Ireland
IS - Iceland
IT - Italy
LT - Lithuania
LU - Luxembourg
LV - Latvia
MC - Monaco
MK - Macedonia
MT - Malta
NL - Netherlands
NO - Norway
PL - Poland
PT - Portugal
RO - Romania
RU - Russian Fed.
SE - Sweden
SI - Slovenia
SK - Slovakia
SR - Suriname
Plz
*
Mwst
*
Kontakt Name
*
Telefonnummer
*
Fax
Email
*
Bank
Iban
*
Bic/Swift
Kundenname 1
*
Kundenname 1
Straße
*
Stadt
*
Region
Land
*
AD - Andorra
';
AL - Albania
';
AT - Austria
';
BA - Bosnia-Herz.
';
BE - Belgium
';
BG - Bulgaria
';
CH - Switzerland
';
CZ - Czech Republic
';
DE - Germany
';
DK - Denmark
';
EE - Estonia
';
ES - Spain
';
FI - Finland
';
FR - France
';
GB - United Kingdom
';
GR - Greece
';
HR - Croatia
';
HU - Hungary
';
IE - Ireland
';
IS - Iceland
';
IT - Italy
';
LT - Lithuania
';
LU - Luxembourg
';
LV - Latvia
';
MC - Monaco
';
MK - Macedonia
';
MT - Malta
';
NL - Netherlands
';
NO - Norway
';
PL - Poland
';
PT - Portugal
';
RO - Romania
';
RU - Russian Fed.
';
SE - Sweden
';
SI - Slovenia
';
SK - Slovakia
';
SR - Suriname
';
Plz
*
Kontakt Name
*
Telefonnummer
*
Faxnummer
Email
*
FRÜHER
NÄCHSTE
EINREICHEN
Submitting this form does not guarantee approval, your request will be reviewed and a notification will be sent to you upon completion of the review process.