The most favorite fashion e-shop • Differenta.com

Differenta.com - The most favorite fashion e-shop • Differenta.com

+420 773 002 808 (business days, 9-17)

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Billing information:

private address fill in company data

Name of the company: *

IN: *

VAT: *

* If you fill in the name of the company, the Name and Surname item in the billing address is not required. Please, fill them in in the optional Delivery address.

Name: *

Surname: *

Street name and the descriptive number: *

POSTCODE

Town / Village: *

Your e-mail: *

Code: *

Phone: (please enter without the country number +XX) *

Optional password: (if you do not enter password, the system will generate it for you)

Address for delivery of the goods:

same as the billing address different from the billing address

Name of the company:

Phone: (please enter without the country number +XX)

Name: *

Surname: *

Street name and the descriptive number: *

POSTCODE

Town / Village: *

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