Vendor Registration form

Facility/Company Information:

Firm Name *

Firm Type *

Main Address *

City *

Phone *

E-mail *

Website Link

C.R Number

C.R Date

Country *

Bank Information:

Bank Name *

Account *

IBAN Number *

VAT Number *

Contact Information:

Contact Name *

Job Position *

E-Mail *

Phone *

I acknowledge and take full responsibility for the accuracy and completeness of the information I have provided.