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

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Seletti S.p.A. Via Codebruni Levante, 32 - 46015 Cicognara di Viadana MN Italy - Tel. +39 0375 88561 - Fax +39 0375 88843 c.f./p. IVA: 01221790205 - email [email protected] www.seletti.it CUSTOMER'S DETAILS INVOICE ADDRESS Company 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 OTHER T/T AT SIGHT T/T AT 30 DAYS BANK 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:

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Page 1: CUSTOMER'S DETAILSit.seletti.it/Price_List_IT/download.php?f=Seletti form... · Viadana MN Italy - Tel. +39 0375 88561 - Fax +39 0375 88843 c.f./p. IVA: 01221790205 - email info@seletti.it

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 [email protected] 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: