Viaflor - Application Form

Company details

Company name *

Years of trading *

More than years

Website url *

Company Registration Number

VAT number (if applicable) If you have a valid VAT number, we don't have to charge VAT under the invoice.
If you are in possession of an invalid VAT number, we need to charge 6% VAT under the invoice.

Business type(s)

Wholesale

Event

Shop

Invoice details

For the attention of *

Country *

Province/District *

Postal code *

Address *

E-mail adress *

Fax

Minimal order amount *

€ euro

Owner details

First name *

Last name *

E-mail adress *

Date of birth

Mobile number *

Telephone number

Same address as invoice address

Delivery address

E-mail adress *

Phone number *

Same address as invoice address

We are ready for your first order