Cu freestomer Registration Form
Customer Owner Name/Company Name
(Nama Customer/ Nama Perusahaan)
Data for Invoicing and VAT Invoice (Mailing)
(Data untuk cetak invoice dan faktur pajak)
Customer Name (Nama Site)
VAT ID (Nomor NPWP)
Address
(Alamat)
Country (Negara)
City (Kota)
Province (Propinsi)
Postal Code (Kode Pos)
Contact Information
Title/Name (Contact 1)
Department
Phone No. (No Telpon)
Fax No. (No Fax)
Email Contact 1
Title/Name (Contact 2)
Department
Phone No. (No Telpon)
Fax No. (No Fax)
Email Contact 2:
Bank Detail (Payment From)
(Detail Bank milik customer)
Customers' Bank
Account Name
(Rekening terdaftar atas nama)
Bank Name (Nama Bank)
Account Number (No. Rekening)
Bank Currency (Mata Uang Rekening)
Clear selection
Address Bank (Alamat Bank)
Ship to Address Customer (Alamat Kirim Barang)
Address (Alamat)
Country (Negara)
City (Kota)
Postal Code (Po Box)
Submit
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