My Name and Address

You are registering into Cyprus store.

Please enter your name and address in the fields below. The fields marked with an are required.

Type the code shown below

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I accept terms and conditions

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Sponsor Information
Your sponsor will be:
CYNTHIA TEFFT
ID# 001002541958
 

Step 1: Personal Information
* First Name  
* Last Name  
* Birth Date  
Day Month Year
     
* Newsletter Language

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Step 2: Contact Information
* Address 1  
  
  
* City  
* State  
* Country  
* Postal Code  

* Phone  
* Email  
* Confirm Email  
 
Step 3: Store Information
VAT number # :
Tax Office # :
* Greek ID or Passport:
* Νumber #: