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1. Company and contact data:

Company name: *Owner / General Manager: *Street: *Postal code: *City: *Country: *VAT ID number: *

Title:First name: *Surname: *Position:Phone (extension): *eMail address: *

Company exists since:Business activity:Turnover in the telecommunication segment:

Number of employees:Location: Website:

Google search

trading platforms

recommendation

already Telepart customer

other

(Business registration / extract from the Commercial Register, Letterhead, if applicable ID-copy)

Business registration Upload: *

VAT document Upload:

File attachment:

Comments:

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Your TelePart team