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NEW CUSTOMERS CREDIT ACCOUNT APPLICATION FORM
 

APPLICANT DETAILS
VAT   Company
Address   Nr
Postal Code   Town
Country   Phone
Fax   E-mail
DETAILS OF COMERCIAL ACTIVITY
Constitution Date  
Company Profile  
Industry Industrial Installation and Mounting
OEM Equipment / Cldron Manufacturer
 Engineering
Distributor

 Stock

CONTACT NAME (PURCHASES)
Name Phone
Fax E-mail

CONTACT NAME (ACCOUNTS)
Name Phone
Fax E-mail

DELIVERY ADDRESS
Address Nr
Postal Code Town
Country Phone
Fax E-mail
Agencia Transporte    

INVOICING DETAILS
Address Nr
Postal Code Town
Country Phone
Fax E-mail
       

METHOD OF PAYMENT

 PERIOD DAYS OF PAYMENT
Wire Transfer  
Cheque  
Others  
         
   
       
  VOLVER