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	Private Company
Email address *
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Password *
Confirm new password *

Company Name *
VAT number	For example NL 1234.56.789.B00, with or without dots and spaces
CC number
Phone *
First Name *
Insert / Last Name *
Phone *
Mobile

Postal address (also invoice address)
Mailbox
Street * / Number *
Zip code * / Place *
Country

Visiting address equals postal address
Visiting address (default shipping address)
Street * / Number *
Zip code * / Place *
Country

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Postal address (also invoice address)