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BASEGŚwierkowa 998-100 Łask530 531 530Only for logged in usersbaseg@baseg.pl
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VAT Invoices: nationalEUexport
Enterprise description:
Attachment 1:
Attachment 2:
Attachment 3:

Invoicing details

Company: This field is required to place the order
This field is required to register.
Tax ID: This field is required to place the order
This field is required to register..
Address: This field is required to place the order
Address:
Postcode: This field is required to place the order
Postcode:
City: This field is required to place the order
City
Country: This field is required to place the order
Country

Shipping address

First name:
Shipping address
Last name:
last name
Company name:
last name
Postcode: This field is required to place the order
Postcode
Address: This field is required to place the order
Address
City: This field is required to place the order
City
Phone: This field is required to place the order
City
Country:

Buyers details

First name: This field is required to place the order
First name
Last name: This field is required to place the order
Last name
E-mail: This field is required to place the order
E-mail
Phone: This field is required to place the order
Phone
Additional phone:
Additional phone

Registration:

Login: This field is required to place the order
Login
Password: This field is required to place the order
Login and password cannot be the same.
retype password: This field is required to place the order
retype password
 
This field is required to place the order I accept the terms and regulations. I accept receiving information according to Electronic Services Act from 18 July 2002. I accept storing my personal details in stores database.
marked fields - This field is required to place the order - are mandatory
Fill the filed marked with asterisk
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