Request form to access the B2B shop

Please fill in your details below. Your details will be used to process invoices and shipping. You can change your details at all time.

General

I have a physical store I have a webshop

Company (*) VAT number (*) Professional customer located outside the EU, without European VAT number

First name (*) Name (*) E-mail (*) Phone (*) Website (*) Description of the shop

Invoice address

Street (*) Zipcode (*) City (*) Country (*) I wish to pay via PayPal (+ 4% cost)

Shipping address (different than invoice address)

Street Zipcode City Country

Password

Password (*) At least 8 characters, mandatory to use a letter + number combination. Repeat password (*)

I agree with the terms and conditions de Groovy Magnets (*)