| Company name | * |
| Administrator name | * |
| Country | |
| Headquarters | * (Județ, Localitate, Stradă, Număr, Cod poștal) |
| Registration code | * |
| Trade Register Nr. | * |
| Account | * |
| Bank name | * |
| Phone nr | * |
| User: | * Allowed characters a - z, A - Z, 0 - 9, maxim of 25 chars, no spaces. |
| E - mail: | * |
| Password: | * minimum password length: 5 characters. |
| Retype password: | When password is not completed will be genrated random. |
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