WELMS Account Opening
Company information
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EN
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General information
Company name *
City
Province / State
Postal code
Email address *
Business type
Established since
Preferred payment method
Delivery details (location / conditions)
Shipping address (if different)
City
Province / State
Postal code
Phone / Fax
Email address
Contacts
Accounts payable contact (name and email) *
Purchasing contact (name and email)
Technical contact (name and email)
President (name and email)
Additional information
Number of employees
Industry type
References
Reference 1 (name / company)
Reference contact 1
Phone / Fax 1
Reference 2 (name / company)
Reference contact 2
Phone / Fax 2
Reference 3 (optional)
Reference 4 (optional)
Additional reference 1_2
Additional reference 2_2
Additional reference 1_3
Additional reference 2_3
Authorization
Date *
Company name
Name *
Title
Address
Address (if different)
Phone
Fax
Exotaxes
Yes
No
Comments / Notes
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