Registration form for external customers

Please fullfill all necessary fields.

The condition for creating an account is the correct verification of the customer by a JAF employee.

Prices are disclosed only in PLN currency.

The account will be created with VAT tax rate, applicable in Poland, i.e. 23% of TAX.

Type *

First and Last name or Company Name *

Tax number (if Company)

Street, Number *

ZIP Code *

City *

Country *

E-mail (for login and according OWS III, point 17 and V, point 18)) *

Phone *

Preferred branch *

Salesman *

Contact person (First name and Last name) *

If you want to receive documents via email (invoice, correcting invoice), fulfill field below, according OWS IV point 13.

Newsletter *

I'd like to receive newsletters via e-mail.

I'm not interested to receive newsletters via e-mail.

I have read and I accept JAF Polska Sp. z o.o. online shop regulations, General Terms and Conditions of Sale and I acknowledge method of data processing at JAF Polska Sp. z o.o. *

I acknowledge and accept that the prices visible in the JAF Polska online shop, for my account are indicative and may change and/or be incorrect from the moment of logging in, to placing an online order, inclusive. A binding offer / confirmation is a system document issued by the JAF Polska Sp. z o.o. sales office. *

Potwierdź, że nie jesteś robotem.