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* Indicates required question
Customer name (legal enitity)
*
Your answer
Street
*
Your answer
House number
*
Your answer
ZIP code
*
Your answer
City
*
Your answer
Country
*
Your answer
General phone number
*
Your answer
General email address
*
Your answer
Website
Your answer
Customer VAT Number
*
Your answer
Contact Person
*
Your answer
Price list
*
Choose
P9 - Wholesale - retail
P13 - Project quantity discount
Payment Term
*
Choose
Pre Payment
14 days nett
30 days nett
Sales agent
*
Your answer
Customer type
*
Wholesale client - retail
Hospitality client
Other:
Required
Delivery address
*
Same as general address
Other:
Required
Delivery email address
*
Same as general email address
Other:
Required
Invoice address
*
Same as general address
Other:
Required
Invoice email address
*
Same as general email address
Other:
Required
Notes for the backoffice
Your answer
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