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^*Required field

Billing address

Address 1^*

Address 2

Postal Code^*

City^*

Country^*

Phone Number^*

Shipping address same as billing address

Shipping address

Address 1^*

Address 2

Postal Code^*

City^*

Country^*

Phone Number^*

Main contact

Name^*

Firstname^*

Service^*

Function^*

Email^*

Phone^*

Receive a printed catalog

I accept to receive commercial and technical information from LEDIT YAKI

Additional contact

Name

Firstname

Service

Function

Phone

Receive a printed catalog

I accept to receive commercial and technical information from LEDIT YAKI

Name

Firstname

Service

Function

Phone

Name

Firstname

Service

Function

Phone

Name

Firstname

Service

Function

Phone

Billing

Name^*

Firstname^*

Service^*

Function^*

Email^*

Phone^*

Financial conditions :

Credit limit of 5000 € after approval from our credit insurance.
Payment by LCR 30 days net after approval from our financial service.

I authorize SAS YAKI to set up automatic LCR debits from the following bank account

Bank Name^*

IBAN^*

BIC^*

KBIS (dated less than 3 months) ^*

Choose a file

RIB

Choose a file

^* I have read and agree to the General Terms and Conditions of Sale (GTC) of SAS YAKI

Account request creation form

Company information

Billing address

Shipping address

Main contact

Additional contact

Billing