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Username *
Email address *
First Name *
Last Name *
Shop Name *
Shop URL https://la-ol.com/store/
Company Name
Company ID/EUID Number
VAT/TAX Number
Name of Bank
Bank IBAN
Phone Number*
Company Name (Note that this field is relevant only for companies)
VAT or Tax Number*
Name and surname (for companies the name of the director, CEO, for individuals give personal name and surname)*
Company Website
Shipping Conditions*
Return Policy*
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