Application for Proforma Invoice

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					Oficina de Exportación / Export Office:                                                                                                                Simeon Martins
C/ Juli Garreta, 22                                                                                                                                  Director de Exportación
                                                                                                                                         SimeonMartins@AlamakEspana.com
Departamento 309
17002 Girona, Spain                                                                                                                     Alphonse Eduardo Fonseca
                                                                                                                                         Director de Logística de Exportación
Tel: +34 972 940 980                                                                                                                         AFonseca@AlamakEspana.com
Fax: +34 972 980 120
www.AlamakEspana.com
                                                                 ALAMAK
                                                                    ~
                                                                                                                                                          David Cohen
Exports@AlamakEspana.com                                        espana trade s.l.™                                                           Adjunto Director de Exportación
                                                                                                                                           DavidCohen@AlamakEspana.com



                                                                     Form Number EXP0510

                                     Application for Proforma Invoice
                                                                    for New Customers
If you are a new customer, please complete this Application and email it along with the two-page “Proforma Invoice and Terms of Agreement” (form number EXP0527)
as an attachment to Exports@AlamakEspana.com or fax it to +34 972 980 120. If the Application is approved, a Proforma Invoice Number will be issued and the
“Proforma Invoice and Terms of Agreement” (PITA) will be countersigned and returned to you.


APPLICANT'S DETAILS:                                      The details below must be of the bank which will be opening the Letter of Credit or making the CAD payment:

Company Name:            ________________________________________               Company Bank Name:                 ________________________________________

Company Address:         ________________________________________               Bank Address:                      ________________________________________

                         ________________________________________                                                  ________________________________________

                         ________________________________________               Bank Telephone:                    ________________________________________

Authorized Party:        ________________________________________               Contact Party:                     ________________________________________

Title/Position:          ________________________________________               Bank Fax:                          ________________________________________

Telephone:               ________________________________________               Bank Email:                        ________________________________________

Fax:                     ________________________________________               Swift code (BIC):                  ________________________________________

Email:                   ________________________________________               Account number:                    ________________________________________



APPLICANT COMPANY REGISTRATION / DETAILS:


Country of Registration: ________________________________________                Registration number:              ________________________________________

Registered Address
(if different from above): ________________________________________              Registration date:                ________________________________________


                           ________________________________________

Former Names, Trade Names, or Names of Related/Associated enterprises: ________________________________________________________________________


Brief description of company's activities:_____________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________


Senior Officers' or Directors' Names, Titles and Telephone:

1. _________________________________________             ___________________________________________________              ___________________________________
                   Name                                                         Title                                                 Telephone

2. _________________________________________             ___________________________________________________              ___________________________________
                   Name                                                         Title                                                 Telephone

3. _________________________________________             ___________________________________________________              ___________________________________
                   Name                                                         Title                                                 Telephone



APPLICANT DECLARATION:

I hereby certify the following:

1. That the above information is complete and accurate to the best of my knowledge.

2. That I am an authorized signatory of the applicant company, and I am empowered to execute and legally bind the company in all matters outlined in the
“Proforma Invoice and Terms of Agreement” (PITA), form EXP0527, which is attached to this Application.

3. That the above named applicant company which I represent is ready and able to perform according to all the conditions of the PITA.

4. That I hereby submit this application and PITA to Alamak España Trade S.L. and request that it be countersigned and a Proforma Invoice Number be allocated.


Name of Authorized Signatory: ______________________________________________                            Title: _____________________________________________



Signature:_______________________________________________________________                               Date: _____________________________________________