Please fill in all the fields on the following form.
You just have to click on "Submit" and our Afiliation department will study your request.
You will receive an e-mail in the next days to let you know you if your affiliation has been accepted.
Any Questions ? email@example.com
Mosaico Commercial Affiliation Form
Your information are for Mosaïco Diffusion's use only.
You have a right to access, modify, rectify and delete your data (art. 34 of
french law "Informatique et Libertés" N°78-17 from January 6th 1978). To
use this right, please contact us at :
Mosaïco Diffusion – Commercial Affiliations
48 Bvd de Picpus