Company Details

Company Name*

Company Address*

Warehouse Address
(if different from above)

Opening hours Warehouse

Trade Register Number*

WDL Number
(please enclose a copy)*


WDL issue date

WDL expiry date

VAT Number

Tel.*

Fax

Email Address*

Contact Details

Name of responsible Person according to GDP*

Position

Tel.

Fax

Email Address

Bank Details

Account Name

Bank Name

Sort Code

Account Number

IBAN

BIC

Currency

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