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Instructions
In order to register your company in Action SA, please:
1. Fill in the application form
1. Fill in the following application form.
1
General information
Full name of company
NIP (Polish Tax ID)
REGON (Statistical number)
2
Address
Address of the company
Province
- select -
dolnośląskie
kujawsko-pomorskie
lubelskie
lubuskie
łódzkie
małopolskie
mazowieckie
opolskie
podkarapackie
podlaskie
pomorskie
śląskie
świętokrzyskie
warmińsko-mazurskie
wielkopolskie
zachodniopomorskie
Post code
City
Address
Correspondence address other than the registered address
Company’s correspondence address
Province
- select -
dolnośląskie
kujawsko-pomorskie
lubelskie
lubuskie
łódzkie
małopolskie
mazowieckie
opolskie
podkarapackie
podlaskie
pomorskie
śląskie
świętokrzyskie
warmińsko-mazurskie
wielkopolskie
zachodniopomorskie
Post code
City
Address
Delivery address of goods other than the registered address
Product shipping address
Province
- select -
dolnośląskie
kujawsko-pomorskie
lubelskie
lubuskie
łódzkie
małopolskie
mazowieckie
opolskie
podkarapackie
podlaskie
pomorskie
śląskie
świętokrzyskie
warmińsko-mazurskie
wielkopolskie
zachodniopomorskie
Post code
City
Address
3
Contact
Company
Phone no. 1
Phone no. 2
Company email address
Web address
Person representing
Person entitled to incur liabilities on behalf of the company
First name and surname
Phone
E-mail do regulacji zobowiązań finansowych
Adres Email
I agree to receive all kinds of information from the Action SA company at the given address e-mail, according to the Law on electronic services of 18 July 2002 (Dz. U. no. 144, item 1204, as amended)
Register
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