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Please fill in the areas marked with (*).

Login data

email address (= your user name) *
password *

billing address

private / business:
title
firstname *
family name *
company
Value Added Tax Identification Number
Street / Nr. *
zip code *
city *
country *
identification *
phone *
fax
dissent delivery address *

delivery address

title
firstname *
family name *
email *
company
Street / Nr. *
zip code *
city *
country *
phone *
fax
 
I consent to the capture, storage and usage of the above personal identifying data as well as special categories of personal identifying data. Data is used solely for the intended purpose by the providers of this website and not shared with third parties without your consent. I can withdraw my consent to the use of my data at any time (*mandatory field)

Data protection declaration and objection information

 
AiM Store by memotec Messtechnik | Bauwaldstrasse 1 | D-75031 Eppingen | +49.7260.920440 | info@aim-store.de | www.aim-store.com