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Company Type
Pharmacy / Specialized shop / Herbalist's shop
Nursing home
Hospital / Clinic
Dealer
Other
Email
*
Repeat email
*
Password
*
Repeat password
*
Country of billing and shipping
*
Austria
Azores - Madeira
Balearic Islands
Belgium
Bulgaria
Canary Islands
Ceuta - Melilla
Corsica
Croatia
Czech Republic
Denmark
Estonia
Finland
France
Germany
Gibraltar
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Netherlands
Norway
Poland
Portugal
Romania
Slovakia (Slovak Republic)
Slovenia
Spain
Sweden
Payment Type
Paypal
Contrassegno
Prepayment
N.b.: Cash on Delivery is only available in Italy
Default billing address
Contact Name
*
Contact Surname
*
Company name
*
VAT
*
ID number
Address
*
Staircase, Interior, Floor, etc...
Postecode
*
County
*
AG
AL
AN
AO
AP
AQ
AR
AT
AV
BA
BG
BI
BL
BN
BO
BR
BS
BT
BZ
CA
CB
CE
CH
CI
CL
CN
CO
CR
CS
CT
CZ
EN
FC
FE
FG
FI
FM
FR
GE
GO
GR
IM
IS
KR
LC
LE
LI
LO
LT
LU
MB
MC
ME
MI
MN
MO
MS
MT
NA
NO
NU
OG
OR
OT
PA
PC
PD
PE
PG
PI
PN
PO
PR
PT
PU
PV
PZ
RA
RC
RE
RG
RI
RM
RN
RO
SA
SI
SO
SP
SR
SS
SU
SV
TA
TE
TN
TO
TP
TR
TS
TV
UD
VA
VB
VC
VE
VI
VR
VS
VT
VV
County
*
City
*
Telephone
Mobile
N.b.: You must enter at least one between phone and mobile
Administrative email notifications
*
Fax
PEC
SDI Recipient Code (Italy electronic invoice)
Notes
The invoice-address is the same as delivery-address
Default delivery address
Contact Name
*
Contact Surname
*
At
*
Address
*
Staircase, Interior, Floor, etc...
Postecode
*
County
*
AG
AL
AN
AO
AP
AQ
AR
AT
AV
BA
BG
BI
BL
BN
BO
BR
BS
BT
BZ
CA
CB
CE
CH
CI
CL
CN
CO
CR
CS
CT
CZ
EN
FC
FE
FG
FI
FM
FR
GE
GO
GR
IM
IS
KR
LC
LE
LI
LO
LT
LU
MB
MC
ME
MI
MN
MO
MS
MT
NA
NO
NU
OG
OR
OT
PA
PC
PD
PE
PG
PI
PN
PO
PR
PT
PU
PV
PZ
RA
RC
RE
RG
RI
RM
RN
RO
SA
SI
SO
SP
SR
SS
SU
SV
TA
TE
TN
TO
TP
TR
TS
TV
UD
VA
VB
VC
VE
VI
VR
VS
VT
VV
County
*
City
*
Shipment notification emails
*
Telephone
Mobile
N.b.: You must enter at least one between phone and mobile
Delivery notes
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