Antrag für Handelsverteterbereich

Füllen Sie bitte das nachstehende Formular aus, um die Registrierung im passwortgeschützten Bereich als Handelsvertreter zu beantragen.

Vorname:* Nome è obbligatorio

Nachname:* Cognome è obbligatorio

Firma:* Azienda è obbligatorio

Aufgabenbereich in der Firma: Posizione in azienda non è valido

Telefonnr.:* Telefono è obbligatorio

Straße:* Via è obbligatorio

PLZ:* CAP è obbligatorio

Ort:* Città è obbligatorio

Bundesland:* Provincia è obbligatorio

Nation:* Nazione è obbligatorio

Zwischenablage: Note non è valido

Newsletter abonnieren

Email:* Email non valida

Passwort* La password non è valida

Passwort bestätigen* La conferma della password non corrisponde

Forza della password Das Passwort muss "mittel" oder stärker sein

Ich bestätige, die Datenschutzinformationen gelesen zu haben.

Valore mancante Bitte korrigieren Sie die hervorgehobenen Fehler

Via Luppia Alberi 170 – 35044
Montagnana (PD)
R.I./Steuernummer/Umsatzsteuer-Identifikationsnummer 02375450281
Aktienkapital € 2.900.000 i.v.

Tel. (+39) 0429 – 806311
Fax. (+39) 0429 – 806340

E-mail: info@fastaer.com

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