MAH

You are a MAH - begin filling in the MAH 1 data. If you hold multiple permits, click on Other MAH -> add the data to other MAHs, as needed.

You are mandated by the MAH(s) to represent them - click on I am a Representative Company -> fill in the data for your organization and then fill in the data for the represented license holders (MAHs). To add more MAHs, click on Other MAH.

I am a Representative Company

Název společnosti: *

Address: *

Street and no.:		City:
ZIP:		State:

IN (Company identification number) *:

Mailing address:

Different address

Authorised Representative:

Other Authorised Person

FMD contact: *

Invoicing

Invoice to a Representative

Notice

Invoice address:

Street and no.:		City:
ZIP:		State:

Invoice contact: *

VAT:

× MAH 1

Name of Company: *

Address: *

Street and no.:		City:
ZIP:		State:

IN (Company identification number): *

Mailing address:

Different address

Invoice address:

Different address

Invoice contact: *

VAT:

Currency

MAH ID (EMVO registration):

FMD contact: *

Alternative contact for FMD:

Other MAH

* required field

MAH

I am a Representative Company

× MAH 1

Founding members

Associate members

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Password: