Trading Account Application

PLEASE READ CAREFULLY BEFORE YOU CONTINUE:

By submitting this application i do hereby declare that all the information provided on this application form along with the documents enclosed are complete, true and accurate to the best of my/our knowledge.
I/We give authority to verify information provided below.

1- Company details

– Company name (required)

– Address (required)

– City (required)

– ZIP code (required)

– Country (required)

– Landline phone number

– Email address (required)

– Company registration number (required)

– Trading Commencement Date: (required)

– VAT number: (required)

– Website

2- Bank account details

– Bank name: (required)

– Address: (required)

– City: (required)

– ZIP code: (required)

– Country: (required)

– Account holder full name: (required)

– Bank account number: (required)

– Swift code: (required)

3- Owner

– Full name: (required)

– Email address: (required)

– Skype:

– Phone number: (required)

4- Director

– Full name: (required)

– Email address: (required)

– Skype:

– Phone number: (required)

5- Authorized purchasing person

– Full name: (required)

– Job title: (required)

– Email address: (required)

– Skype:

– Phone number: (required)

5.1- Authorized sales person

– Full name: (required)

– Job title: (required)

– Email address: (required)

– Skype:

– Phone number: (required)

6- Delivery address

– Warehouse name: (required)

– Address: (required)

– City: (required)

– ZIP code: (required)

– Country: (required)

6.1- Pick-up address

6.2- Logistics manager

– Full name: (required)

– Email address: (required)

– Phone number: (required)

– Skype: (required)

7- Key areas

– Please select one of the following: (required)

8- Range of goods

Please select from menus below (Multible choices allowed) (required)

9- Number of employees

Please select from menu below (required)

10- Which platforms are you a member of?

Please select from menus below (Multible choices allowed) (required)

12- Company branchs?

How many branches your company has? (required)

13- References

One reference at least is (required):

14- Company documents

*Only PDF files supported – File size 1500KB Max.
– VAT Certificate,
– Company Registration Certificate.
– Company Letterhead.

ul. Leśna 3
07-200 Wyszków
NIP: 7622006714
REGON: 381866939
KRS: 0000759107