B2B Registration

First name *

Last name *

Company *

Address *

Address Line 2 

Country & State *

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City *

Postcode / ZIP *

Phone *

Send a copy of all invoices to this email address (accounting department, etc.) 

SIRET Number 

SIREN Number 

Request a credit line / payment terms? *YesNo

Requested credit amount (EUR) 

Payment terms 30 daysOther

Other payment terms (number of days) 

Accounting Manager - First name 

Accounting Manager - Last name 

Accounting Manager - Phone 

Accounting Manager - Email 

Purchasing Manager - First name 

Purchasing Manager - Last name 

Purchasing Manager - Phone 

Purchasing Manager - Email 

Account holder 

IBAN (no spaces) 

BIC (no spaces) 

Please attach your KBIS extract *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Please attach your latest balance sheet or tax return for credit line validation *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

General Terms and Conditions *

I accept the General Terms and Conditions