Product registration

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Provided informations will be used in case of product recall or safety alert only.

Last name*

First name*

Street/Number *

Zip*

City *

Country *

Phone *

Email *

Order date *

Article number

Description

I agree with the transmission of my data for the registration of a product by email to Madame Jordan. More information can be found in our data protection declaration.

* = required

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