Registration form Online Shop
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Registration form
Sponsor's number:
Sponsor's first name and surname:
Date of birth (dd-mm-yyyy):
Date of joining to FM CLUB (dd-mm-yyyy):
I'm a VAT payer: Yes No
Company Name:
Full private or registered address:
Mailing address:
Home phone number:
Mobile phone number:
E-mail address:
Personal document number:
(passport number, insurance number or driving licence number)
Taxpayer identification number (optional):
Full bank name and account number:

Payment detail:

Date of payment:
Teller no:
Amount Paid:
I declare, that I have made myself acquainted with the rules that apply to FM Club Member which I accept voluntarily and I commit myself to obey them. I also aggre my personal details to be processed and made available to the companies that perform shipment services for the FM, I agree my personal details and the data concerning my due bonuses and discounts to be transferred to the distributors that are included in the same distribution group.
I also agree: my personal details to be processed and made available to other Club Members situated in the structure of my network as well as I put forward a motion to make the data from the personal details database available according with rules that apply to FM Club Member.
Yes No
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