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Registration for Dealers

Country:

(For registration documents) *

Region:

*

City:

*

Street, house number:

*

Delivery address:

(Carrier Address) *

Company legal name (company, FOP, etc.):

(For registration documents) *

Surname:

(Beneficiary) *

First name:

*

Middle name:

Phone number:

(to contact you) *

E-mail address:

(please provide a valid email address to set up an account on BCGUMA) *

Password:

(please generate a strong password to access your account) *

Your company is:

*

Year of establishment:

*

Have you ever purchased ТМ «BCGUMA» products?

If "yes", then by:

*

Your message:

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I give my consent to ТМ "BCGUMA" to receive, store and use my personal data such as surname, first name, postal address, phone number, e-mail address for registration of sales contracts, payments, registration of acceptance and transfer certificate, notifications, etc. My personal data cannot be provided to third parties without my written consent, except as required by law

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