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Reseller Application - PDF

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					                                   Reseller Application
            Filling out the form carefully shorten the application processing time.
             Reseller Application signatory must be authorized by the company.
                 Fax the form (the bottom number) or scan & mail the printout.

The company's registered name

þÿ
The company's registered VAT/TAX number                   Date of application

þÿ                                                        þÿ
 Billing address

þÿ
Zip code (BA)                                 City (BA)

þÿ                                            þÿ
Country (BA)

þÿ
Shipping address

þÿ
Zip code (SA)                                 City (SA)

þÿ                                                þÿ
Country (SA)

þÿ
Telephone                                                 Fax

 þÿ                                                       þÿ
Contact person (supplies) E-mail                          E-mail address on line, billing purposes

þÿ                                                        þÿ
The company's operating field
þÿ


Number of employee                                        I accept Zandgroup AB's distribution terms

þÿ
The company's business on an author's signature           Print the name in block letters

þÿ                                                        þÿ


                                         Zand Group AB
                              Box 1332 - 581 13 Linköping – SWEDEN
                      Telephone: +46 (0) 13 31 60 34 - Fax: +46 (0) 13 31 01 56
          VAT: SE556699701001 – e-mail:info@@zandgroup.eu - web place: www.zandgroup.se

				
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Description: Reseller Application document sample