New Customer Form Please complete the form bellow with your basic info to set you as a client. Business Name Markets USA Europe Russia Latin America Asia Middle East Oceania Type of Business Importer Wholesaler Retailer Broker Website Contact Name Email Phone Number Skype SHIPPING INFORMATION Shipping Address City State/Province Country Zip/Postal Code BILLING INFORMATION Billing Address Country Tax ID Cargo Agency or Trucking Company Account Number Special Instruction Preferred payment Local Check International Check Wire Transfer Credit Card Prepayment BANK REFERENCE Bank Name Account Number Phone Number Contact TRADE REFERENCES Company 1 Company Name Email Contact Phone Message Company 2 Company Name Email Contact Phone Message Company 3 Company Name Email Contact Phone Message Send
