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We are Wholesaler in
We are Wholesaler in NORD-SUD TT Telecommunications Computers Internet TRANSFERT TECHNOLOGIE (WHOLESALE IN TELECOMMUNICATIONS AND COMPUTERS) Visit http://www.AfrikaNet.net an Oxford Consultech Project FORMULAIRE D’ INFORMATION D’ENTREPRISE INFORMATION SUR L’ENTREPRISE Nom de l’Entreprise: ______________________________________________________________________________ Nom Commercial: (s’il est différent) ____________________________________________________________________ Adresse: _____________________________________________________________________________________ _____________________________________________________________________________________ Ville__________________________________________ Province/Etat ____________________________________ Code Postal ________________ Pays_____________________________________________________________ Date de Création: ______________________ site Web: ______________________________________________ e-mail: ______________________________________________________________________________________ Tel professionel: ( Autre: ) ___________________________________________ Fax : ( ) _____________________ ______________________________ Organisation Corporation Partenaires Patron Autre _____________________________________________________________________________________________ Afrikanet Oxford Consultech Int’l Project - NST&T Univers Phone UK Ltd Reg Number: 0380 4593 VAT Number:GB 724 8541 26 Head Office: Hydra House, 26 North Street, TN24 8JR Ashford Kent. ENGLAND Tel: +44 1865 408 365 or +44 1233 653 972 Fax: +44 207 900 6479 E-Mail: [email protected] Page 1 of 4 We are Wholesaler in NORD-SUD TT Telecommunications Computers Internet TRANSFERT TECHNOLOGIE (WHOLESALE IN TELECOMMUNICATIONS AND COMPUTERS) Visit http://www.AfrikaNet.net an Oxford Consultech Project Contact dettes comptable: _________________________________ N°Telephone: ( Fax : ( ) ___________________________ ) ________________________ e-mail: __________________________________________________________ Enregistré chez Dun & Bradstreet No Yes Numéro D & B : __________________________________ CADRES, PARTENAIRES OU CHEF DE L’ENTREPRISE Nom: _______________________________ Titre: ______________________ N°de Telephone: ( ) ____________ Adresse: _____________________________________________________________________________________ Nom: _______________________________ Titre: ______________________ N°de Telephone: ( ) ____________ Adresse: _____________________________________________________________________________________ Nom: _______________________________ Titre: ______________________ N°de Telephone: ( ) ____________ Adresse: _____________________________________________________________________________________ _____________________________________________________________________________________________ Afrikanet Oxford Consultech Int’l Project - NST&T Univers Phone UK Ltd Reg Number: 0380 4593 VAT Number:GB 724 8541 26 Head Office: Hydra House, 26 North Street, TN24 8JR Ashford Kent. ENGLAND Tel: +44 1865 408 365 or +44 1233 653 972 Fax: +44 207 900 6479 E-Mail: [email protected] Page 2 of 4 We are Wholesaler in NORD-SUD TT Telecommunications Computers Internet TRANSFERT TECHNOLOGIE (WHOLESALE IN TELECOMMUNICATIONS AND COMPUTERS) Visit http://www.AfrikaNet.net an Oxford Consultech Project INFORMATION BANCAIRE Nom de la Banque: _________________________________________ N°de Compte: ________________________ A/N: _____________________________________________________________________________________ IBAN: _____________________________________________________________________________________ : _____________________________________________________________________________________ Carte de credit (Si oui laquelle):__________________________________________________________________ Adresse: _____________________________________________________________________________________ Nom de contact: ___________________________________ Titre: _______________________________________ N° de Telephone: ( ) ______________________________ Fax: ( ) __________________________________ REFERENCES COMMERCIALES 1. Nom de l’Entreprise: ________________________________________ Adresse: ______________________________________________________________________________ Nom du Contact: ________________________________ N° de Telephone: ( Fax : ( ) __________________________ ) ______________________ e-mail: _____________________________________ _____________________________________________________________________________________________ Afrikanet Oxford Consultech Int’l Project - NST&T Univers Phone UK Ltd Reg Number: 0380 4593 VAT Number:GB 724 8541 26 Head Office: Hydra House, 26 North Street, TN24 8JR Ashford Kent. ENGLAND Tel: +44 1865 408 365 or +44 1233 653 972 Fax: +44 207 900 6479 E-Mail: [email protected] Page 3 of 4 We are Wholesaler in Telecommunications Computers Internet NORD-SUD TT TRANSFERT TECHNOLOGIE (WHOLESALE IN TELECOMMUNICATIONS AND COMPUTERS) Visit http://www.AfrikaNet.net an Oxford Consultech Project 2. Nom de l’Entreprise: ________________________________________ Adresse: ______________________________________________________________________________ Nom du Contact: ________________________________ N° de Telephone: ( Fax: ( 3. ) __________________________ ) _______________________ e-mail: _____________________________________ Nom de l’Entreprise: ________________________________________ Adresse: ______________________________________________________________________________ Nom du Contact: ________________________________ N° de Telephone: ( ) _______________________ Fax: ( ) __________________________ e-mail: _____________________________________ I/Nous consentons expressément à ce que AFRIKANET obtienne tous rapports contenant les crédits ou les informations personnelles qui sont exigées pour établir le Formulaire d'Informations d’Entreprise d'AFRIKANET. I/Nous déclarons que les informations sur ce formulaire sont vraies et précises chaque aspect. Cette déclaration faite, a pour but que ma société et moi soyons vraiment identifiée par AFRIKANET et que cela restera confidentielle. ___________________________________________ Signature __________________________________ Titre ___________________________________________ Nom __________________________________ Date _____________________________________________________________________________________________ Afrikanet Oxford Consultech Int’l Project - NST&T Univers Phone UK Ltd Reg Number: 0380 4593 VAT Number:GB 724 8541 26 Head Office: Hydra House, 26 North Street, TN24 8JR Ashford Kent. ENGLAND Tel: +44 1865 408 365 or +44 1233 653 972 Fax: +44 207 900 6479 E-Mail: [email protected] Page 4 of 4
