New Customer Registration Form by 2PbJE3

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									                      New Customer Registration Form


Company Name:



Delivery Address:



City:
Post Code/Zip Code:
Country:
Tel No:                                   Fax No:
Email:
Contact:


Invoicing Address:



City:
Post Code/Zip Code:
Country:
Tel No:                                   Fax No:
Email:
Contact:


VAT number (UK and Europe):________________________________________

EIN Number (USA): _________________________________________________

Invoice currency:      USD      AUD       EURO       GBP



Additional Notes/Information:




Please complete and return to orders@cambridgebluegnome.com or fax +44 (0)1223 844445

								
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