Contact Company Form A2

What is 90+1?

(Prove that you are Human)

(*) Mandatory fields

- The signatory of this form declares under a penalty of perjury that all the above details are valid.
- The signatory of this form declares under a penalty of perjury that the company mentioned above is not listed in/or associated with any other Company or individual in the Consolidated United Nations Security Council Sanctions List.

(*) Company Firm/Name:

(*) Company’s occupation:

(*) Registered Country:

(*) Registered Address:

(*) City:

(*) Tax or VAT number:

Registration number:

State/Province:

(*) Office Phone(s):

Company’s Website (URL):

(*) Email:

(*) Contact person:

(*) Contact person Cellular phone(s)

Contact person WhatsApp:

Products you merchandize/manufacture:

Your comments/remarks:

(*) Your Bank Name and County

Request (RFQ) with incomplete information will not be considered true and valid and will be ignored