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Pro Registration

Registration

Username*

Email*

First Name

Last Name

Store Name*

https://pi-gate.com/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Identity Card 1

Identity Card 2 (additional file)

Taxes VAT number / Registration

K-bis / or Commercial registration certificate

K-bis / Commercial registration certificate (additional file)

Professional Insurance

Professional Insurance (additional file 1)

Professional Insurance (additional file 2)

Other documents (Authorization to practice) 1

Other documents (Authorization to practice) 2

Other documents (Authorization to practice) 3

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Password*

Confirm Password*

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