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Application Form:
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Company Information
Company Name:
Registered Address:
CEO/Owner Name:
Company Registration No:
VAT No:
E-Mail:
Website:
Phone Number:
Company Details
Number of Emlopyees:
Annual Turnover Last Financial Year:
Date of Foundation:
Delivery Address
Name:
Delivery Address:
Team Member Contact Information
Name ( Team member) 1
Email: (contact 1)
Phone: (contact 1)
Skype (contact 1)
Name (Team member) 2
Email: (contact 2)
Phone: (contact 2)
Skype: (contact 2)
Trade Reference
Trade Reference (company name, contact, mail, skype or phone
Trading Platforms
Trading Platforms
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Bank Details
Account Name:
Bank Name:
IBAN:
BIC:
Date:
Name: (sign)
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