customer's detailsit.seletti.it/price_list_it/download.php?f=seletti form... · viadana mn...

Seletti S.p.A. Via Codebruni Levante, 32 - 46015 Cicognara diViadana MN Italy - Tel. +39 0375 88561 - Fax +39 0375 88843c.f./p. IVA: 01221790205 - email info@seletti.it www.seletti.it

CUSTOMER'S DETAILSINVOICE ADDRESSCompany name:Address:

Phone: Fax:

Contact Person: Email Address:

KEY PERSON (Owner / General Manager / General Director):

website:

IMPORTANT V.A.T./COMPANY REGISTRATION N.:

DELIVERY PLACE:Address:

Phone: Fax:

Contact Person:

SHOP ADDRESS (if different from above address)Address:

Phone: Fax:

Contact Person:

DELIVERY TERMS: EX WORKS Free Delivered F.O.B

FORWARDING AGENT:

Preffered Express Courier (for samples):

express courier international Contract N. :

SPECIAL TRUCK REQUIRED (small for city center): Yes No

Do you have a forklift at unloading point ? Yes No

TYPE OF BUSINESS: No. Of Shops No. Of Stores

Other:

what type of products do you sell?: LIGHTING ART DE LA TABLE / TABLETOP

FURNITURE STATIONERY

OBJECTS AND DECORATION OTHER / CONCEPT STORE

What other brands do you sell?:

ACCOUNTING CONTACT PERSON:

PHONE: FAX: EMAIL:

PAYMENT TERMS: ADVANCED L/C OTHERT/T AT SIGHT T/T AT 30 DAYSBANK GUARANTEE

NEW ACCOUNT REQUIRE ADVANCED PAYMENT

Mobile:

Mobile:

Mobile:

Mobile:

E-mail:

E-mail:

Postal Code:City: Country:

Postal Code:Country:City:

Country:Postal Code:

City:

Form Rev.1 - 2015-03-20

Email Address: