Exact name of company
Type of business (i,e. Limited/Partnership)
Name of owners and/or major shareholders and/or parent company
Licensing authority
License number (VAT No./Tax I.D.)
Names of subsidiaries, associates and/or overseas representatives
Web Site
Complete Name *
E-mail addresses *
Telephone
Fax
Street name and number
Suite or unit number
Post/Zip code
City
State/Province
Country
Main product(s) and/or service(s)
Number of full-time employees
List all international and national quality assurance certifications held by your company
Beneficiary’s name
Name of the bank
Name of the payee (if different from the Company Name)
Address
Zip/City/Country
Account number
Currency
IBAN code
Bank code
Swift code
