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Contact information

First Name *

Last Name *

Email *

Phone *

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Business information

Company Name *

Tax Identification Number *

Since when do you have a business or when are you starting your business? *

Do you sell online? If so please enter your online shop URL below:
if you do not, please insert "I don't" *

Do you have a stationary shop, if so please enter address below:
if you do not, please insert "I don't" *

its surface
if you do not, please insert "0" *

Do you offer door-to-door services, if so in what area?
if you do not, please insert "I don't" *

What brands are you interested in? *

Fair Play
Interapi
Lamicell
Acavallo
FM Italia

How did you find out about our brand? *

Internet Mailing Fair trade Trade magazines From a friend Product Catalogue

I agree *

to receive from Inter Api Sp. z o.o. with its registered office in Milanówek (05-822) at Kazimierzowska Street 16 marketing information, including offers by e-mail, to the e-mail address provided in the form. I understand that the consent may be revoked at any timeI agree to receive from Inter Api Sp. z o.o. with its registered office in Milanówek (05-822) at Kazimierzowska Street 16 marketing information, including offers by e-mail, to the e-mail address provided in the form. I understand that the consent may be revoked at any time.

I declare *

that I have read the information regarding the rules for processing my personal data and the Privacy Policy

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