COMPANY INFORMATION:
(administrative information for CYBERservices
use only) |
| Company
Name: |
* |
Certificate
of incorporation (n°): |
* |
City
of the Certificate:
|
|
Address: |
* |
City: |
* |
Post
Code: |
* |
Country: |
* |
| |
|
|
The Company Manager: |
|
Last
Name: |
* |
First
Name: |
* |
e-mail: |
* |
Telephone
N°: |
* |
| |
|
COMMERCIAL
INFORMATION:
(commercial information visible on the clients payment page) |
|
Please Cross here
if it is the same information as for "The Company information".
If not please fill in the form below. |
| Commercial
Name: |
|
Address:
|
|
City:
|
|
Post
Code: |
|
Country: |
|
e-mail: |
|
Telephone: |
|
GESTIONNAIRE
DU SITE :
(information administrative à l'usage
de CYBERservices pour les questions
quotidiennes) |
| Please
Cross here
for the same details as for "Company Information" |
| Please
Cross here
for the same details as for "Commercial Manager" |
| If
not, please fill in the following fields |
| Name
& First name: |
|
e-mail: |
|
Telephone
N°: |
|
| |
|
