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In order to improve the processing of your invoices and enable you to get payment within the shortest time, please fill out the following form.

This will also enable us to keep our file to date and to address our demand directly to the interested contact.

 

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* required fields

 

New Update

 

Head office information
Address *
Adress (next)
ZIP code *
City *
Country *
 
Group
 
Website
Phone
Fax
Email
 
Company form *
Company capital *
€
VAT number *
Trade and Company Register number
Foreign Company Licence
Activity code
 
Representative information
First name *
Last name *
Function *
Phone *
Mobile
Fax *
Email
 
Business fields *
 
Number of employees *
 
Insurance company name *
Other company (if exists)

 

 

Freight department information

 

Contact 1
Function *
First name *
Last name *
Spoken languages *
Phone *
Mobile *
Fax *
Email
Adress *
Adress (next)
ZIP code *
City *
Country *
Contact 2
Function
First name
Last name
Spoken languages
Phone
Mobile
Fax
Email
Adress
Adress (next)
ZIP code
City
Country

 

 

Address for payment

same as head office same as freight department other (please fill out the following form)

 

 

Contact for accounts

 

Function *
First name *
Last name *
Pphone *
Mobile
Fax *
Email

 

 

Bank information

 

Bank name *
City *
ZIP Code *
Country *
Owner of account *
   
Bank code
Counter code
Account number *
Key *
   
AND/OR
IBAN *
SWIFT/BIC *

 

 

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