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user
password
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In order to buy in this online shop, You must register first.
Please fill in the form correctly (fields marked with * are obligatory). After sending, loging to our server will be possible. It will enable the access to data given below, correction and removing it from our clients data base.
* Your login * password * re-enter password
5 - 10 signs minimum 5 signs
* company name (or fullname)
persons responsible for contact
* country
* zip / postal code * city
* address: street, the number of the apartment
* phone(s) fax
* e-mail address Tax id. number
I accept processing and storing by PPHU MONIKA LASOTA data given above, with rights to correcting or removing ref. art. 24, 32, 47 act from 29.08.1997. "About data protection."
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Copyright © 2005 by PPHU Monika Lasota