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Supplier registration form

Generated with MOOJ Proforms Version 1.3
* Required information.

Company

Choose type of company *
VAT number *
Name *
Address *
City *
State
Zip code *
Country *

Sales

Contact person *
Business phone *
Mobile phone
Fax
Email Sales *
Skype name
Website

Bank information

Bank connection *
Iban No *
Swift adress *
Reg. No. *
Bank account No. *

Accounts department

Contact person *
Business phone *
Mobile phone
Fax
Email accounts *
Skype name

Order purchase to be sent by

(choose E-mail or Fax)

E-mail order
Fax

General information to be sent by

(choose E-mail or Fax)

E-mail general
Fax
Comments

Green Vision International 2014