Company registration number (REA number)

Agency type

Country

Company Tax Code

Company VAT Number

Main email address

Legal representative email address

Legal representative phone number

Commercial officer name/surname (if different)

Commercial email address (if different)

Commercial phone number (if different)

Administrative officer name/surname

Administration/invoicing email address

Administrative officer phone number

Account holder

IBAN Code

BIC/SWIFT Code

BIC/SWIFT Code is required when the IBAN Code doesn't start with "IT"

Name of Bank Insitute

Agency name

Sales point name

Poste code