Company Information/Registration

Application Form:

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

Handelot

IPT

Z Empire

Other

Bank Details

Account Name:

Bank Name:

IBAN:

BIC:

Date:

Name: (sign)