Name or Company Name
*
Product offered
*
Street address
*
Telephones - Fax - Pbx
*
Mailing Address
*
E-mail
*
Nit - Rif - Fei / Ein Number.
*
Retainer ICA
*
No
Yes
Withholding Tax
*
Yes
No
Sales Scheme
Simplificado
Común
Great Contributor:
Si
No
People contact Commercial Area
*