SwissLens | Registration

Company

Type *

Company name / legal name *

Company name complement

VAT number

I don't have a VAT number

Without VAT number, the french VAT (20%) will be used.

My company is part of a buying group / purchasing association

registration.form.group_code.remark_payment_france

Website

Contact person

Title *

First name *

Last name *

Correspondence language *

Delivery address

Address line 1 (do not repeat company name) *

Address line 2

Postcode *

City *

Billing

Billing address is different from delivery address

E-mail to be used for invoicing

Would you like to easily and conveniently pay your bills ?
We will send you the SEPA - direct debit mandate

Contact informations

Phone *

Fax

E-mail *

Confirm e-mail *

Message (optional)

How did you hear about SwissLens ? *

I would like to receive the SwissLens newsletter

I would like to receive informations about Lunelle by SwissLens

I agree the general terms and conditions