Wniosek o konto profesjonalne

Professional account application

A professional account gives you wholesale prices, individual discounts and deferred payments. Fill in the application — we will verify your details and get back to you.

Fields marked with an asterisk (*) are required

Company details

Registration details of the entity the account will be created for.

Company name *

NIP *

REGON

Company register number

Contact person

The person your account manager will contact.

Name *

Surname *

Email address *

Phone number *

Invoice address

Registered address matching your company records.

Stree *

House number *

Apartment number

Zip code *

City *

Country *

Delivery address

Default delivery address for your orders.

Delivery address same as invoice address

Delivery notes

Attachments and notes

You can attach up to two files.

Attachment 1 *

Choose a file or drag it herePDF, JPG, PNG or WebP

Maximum file size: 2048 KB. Allowed formats: PDF, JPG, PNG, WebP.

Attachment 2

Choose a file or drag it herePDF, JPG, PNG or WebP

Maximum file size: 2048 KB. Allowed formats: PDF, JPG, PNG, WebP.

Additional information

Consents

I consent to the processing of my personal data by Jorge Fireworks Sp. z o.o., registered at ul. Zielonogórska 47, 66-016 Czerwieńsk, for the purpose of contacting me. I have been informed about the voluntary nature of the consent and the possibility to withdraw it at any time, and I have read the information regarding my rights related to my personal data.

*I consent to the use of my email address by the Seller, i.e. Jorge Fireworks Sp. z o.o. with its registered office at: ul. Zielonogórska 47, 66-016 Czerwieńsk, for the purpose of sending commercial information within the meaning of the Act of 18 July 2002 on the provision of electronic services, including direct marketing, by electronic mail.

Applications are usually verified within 1–2 business days.

Professional account application

A professional account gives you wholesale prices, individual discounts and deferred payments. Fill in the application — we will verify your details and get back to you.

Fields marked with an asterisk (*) are required

Company details

Registration details of the entity the account will be created for.

Company name *

NIP *

REGON

Company register number

Contact person

The person your account manager will contact.

Name *

Surname *

Email address *

Phone number *

Invoice address

Registered address matching your company records.

Stree *

House number *

Apartment number

Zip code *

City *

Country *

Delivery address

Default delivery address for your orders.

Delivery address same as invoice address

Delivery notes

Attachments and notes

You can attach up to two files.

Attachment 1 *

Choose a file or drag it herePDF, JPG, PNG or WebP

Maximum file size: 2048 KB. Allowed formats: PDF, JPG, PNG, WebP.

Attachment 2

Choose a file or drag it herePDF, JPG, PNG or WebP

Maximum file size: 2048 KB. Allowed formats: PDF, JPG, PNG, WebP.

Additional information

Consents

Applications are usually verified within 1–2 business days.

Products

Jorge Fireworks

Legal acts

Information

Professional account application

Company details

Contact person

Invoice address

Delivery address

Attachments and notes

Consents

Professional account application

Company details

Contact person

Invoice address

Delivery address

Attachments and notes

Consents