ACCOUNT OPENING FORM

COMPANY

Name or Company Name : Address : ZIP Code - City : Phone number E-mail address Represented by (First and last name) : Company Registration N° : VAT Registration : Capital : Registration Date :
APE : Type of company : Describe your business Official company document

DELIVERY

Same as company address YES NO Special request

CONTACTS

Purchasing

First and last name Phone number E-mail address

Accounting

First and last name Phone number E-mail address

Logistics

First and last name Phone number E-mail address

Add a person

First and last name Function Phone number E-mail address

BANK DETAILS & TERMS OF PAYMENT

Preferred conditions (First prepaid order)

Prepayment 30 days

Payment method

Bank Transfer Other

Bank Account N° IBAN Agency Code Key BIC/swift : RIB