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PERSONAL INFORMATION


Individual	Business
Company

Title	Last name/first name

Contact departement or person

Headcount	RCS or SIREN no. (*)

N° TVA intracommunautaire

Business sector

Line of business

Entry of your order reference required
= Required field

CONTACT DETAILS

Additional address (residence, building, staircase)

Number

Name of street

Zip code

Town

Country

Email address

I agree to receive information or offers from Infogreffe at this address.

Landline phone

Mobile

Fax

= Required field

REMINDER QUESTION

The reminder question helps you remember your password in case you forget it. Whenever you request this service we will ask this question : if the answer is correct, we will tell you your password.

Question

Answer

PAYMENT OF ORDERS

Confirmation of each payment by entering password

ADDITIONAL INFORMATION


How did you hear about us ?

Were you already a user of the site ?	yes	no
Use from home	yes	no
Type of connection (modem, LAN, etc.)

(*) Required information for any company registered with the Trade and Companies Registry
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This information is needed to process your orders and manage our commercial relationship. In accordance with the law of 06/01/1978, you have a right of access, correction and objection to data concerning you. This information will be used only by our company.