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    Customer Set Up Form

    Uploaded by

    mdlc6878
    Set up

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Customer Set Up Form

    Uploaded by

    mdlc6878
    17 views1 page
    Set up

    Original Title

    Customer Set up Form

    Copyright

    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    Set up

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    17 views1 page

    Customer Set Up Form

    Uploaded by

    mdlc6878
    Set up

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    Intralox New Customer Set-up Form

    Intralox Conveyor Belts (Shanghai) Ltd.


    No. 23 Workshop E-mail: [email protected]
    No. 150 Rijing Road TEL : +86-21-5111-8400
    Waigaoqiao, Shanghai, P.R.C.
    200131 For Toll-Free number, please visit www.intralox.com

    SOLD TO ADDRESS

    Company Name:
    Address:
    City: Main Phone #:
    State: Main Fax #:
    Post Code: Web Site:
    Contact First Name: Direct Phone #:
    Contact Last Name: Mobile Phone #:
    Position / Job Title: E-Mail Address:
    Business Type: Please select
    Industry Focus: Please select

    CONSIGNEE NAME (For Customs clearance & shipping documentation purpose)

    Company Name:
    Address:
    City: Main Phone #:
    State: Main Fax #:
    Post Code: Web Site:
    Contact First Name: Direct Phone #:
    Contact Last Name: Mobile Phone #:
    Position / Job Title: E-Mail Address:

    DELIVERY ADDRESS (If different from Consignee name/address)

    Company Name:
    Address:
    City: Main Phone #:
    State: Main Fax #:
    Post Code: Web Site:
    Contact First Name: Direct Phone #:
    Contact Last Name: Mobile Phone #:
    Position / Job Title: E-Mail Address:

    INVOICE

    Would you like to receive e-invoice?: Please select


    Email address(es)
    **Please note thatfor receiving
    if you the
    opt for E-invoices:
    receiving E-invoices, you will no longer receive a printed invoice.

    INVOICE MAILING ADDRESS (If different from sold to address)

    Company Name:
    Address:
    City: Main Phone #:
    State: Main Fax #:
    Post Code: Web Site:
    Contact First Name: Direct Phone #:
    Contact Last Name: Mobile Phone #:
    Position / Job Title: E-Mail Address:

    Page 1 of 1

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