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1. Form
2. First Order
3. Products
4. Summary
5. Conclusion
1. Counselor information
Sponsor
Country
Albania
Andorra
Angola
Argentina
Austria
Belgium
Bulgaria
CaboVerde
Cameroon
Canada
Canarias
Ceuta
Chile
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Faroe
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Guadalupe
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Norway
Paraguai
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Portugal
PuertoRico
RepublicofKosovo
Reunion
Romania
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Slovenia
Spain
Suriname
Sweden
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UnitedArabEmirates
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Title
Azienda
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Signore
Team
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Name
Surname
Additional Name
Birthday
Profession
Birth Place
Nationality
Tax Registration Number
Identity Card
SS Number
Maiden name
BI validity
BI date of issue
BI Issuing authority
Father’s Name
INPS
INPS1
INPS2
INPS3
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ImpostoIVA
Yes
No
Select
IVA
2. Partner
Name
Surname
Birthday
3. Residential address
Country
Italia
Province
Select
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
MD
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
RS
SA
SI
SO
SP
SR
SS
SV
TA
TE
TN
TO
TP
TR
TS
TV
UD
VA
VB
VC
VE
VI
VR
VS
VT
VV
Address
Additional address
Floor / Nº
Postal Code
City
Islands
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No
Select
4. Shipment address (if different)
Name
Surname
Country
Italia
Province
Select
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
MD
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
RS
SA
SI
SO
SP
SR
SS
SV
TA
TE
TN
TO
TP
TR
TS
TV
UD
VA
VB
VC
VE
VI
VR
VS
VT
VV
Address
Additional address
Floor / Nº
Postal Code
City
5. Contacts
Email
Phone
Contact 1
Contact 2
Faximile
6. Bank Information
Bank
BIC
IBAN
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36
Code
Variant
Product
Quantity
Price
Total
Notes
Sponsor
Payment method
Shipment method
Shipment information
Name:
Email:
Address:
Address:
Address:
Order summary
Cart total:
0
Discount:
0
Shipping charges:
0
Billing fee:
0
Total:
0
Total UP:
0
Total UV:
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