Become Retailer


We thank you for the interest which you carry to our company. By completing the following form, you will allow us to answer more effectively your request.

PERSONAL INFORMATIONS
 
Civil Statut*
  Mrs   Mr  
First Name*
 
Surname*
 

COMPAGNY INFORMATIONS

 
Compagny Name*
 
Retail licence number*
 
Intracommunity VAT number
Only for European Retailers
 
EORI No. (Importer's number)
Only outside France
 
Address*
 
ZIP / Postal Code*
 
City*
 
Country*
 
E-mail*
This e-mail will be your login
 
Phone number*
 
You are*
  a Retailer (shop)
a Retailer (website)
a Retailer (shop and website)
a Distributor
other
Address of your website*
 
Your request
 
Attach an official copy of your retailer's license.
(Document .zip, .htm, .txt, .rtf, .doc, .pdf)
Legal registration document*
Click on Button "Parcourir"
 
 

(*) Required informations.

You have the right to access, modify, correct and delete your personal data (Art. 34, "Loi Informatique et LibertÚs", 01.06.1978 - Computing and Freedom law). To exercise this right, contact us.
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