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									                           CUSTOMER'S                               DATE

                                                                  Day / Month
                       INFORMATION SHEET
Fax: 08-6284 1160 / 08-6283 8549


COMPANY NAME (VIETNAMESE) FOR ISSUE INVOICE



COMPANY NAME (ENGLISH NAME)



COMPANY ADDRESS (VIETNAMESE)




  COMPANY ADDRESS (ENGLISH)



TEL NUMBER                           FAX NUMBER


                                        o       EPE COMPANY
TAX CODE
                                        o       NOT EPE COMPANY


REPRESENTED BY                       POSITION


                                                   TEL/ CELL PHONE NUMBER
PURCHASER NAME

E-MAIL


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DELIVERY ADDRESS 2



DELIVERY ADDRESS 3


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