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Email*
Store Name*
https://www.maapack.com/store/[your_store]
GENERAL DETAILS :
Name*
Address HO*
City*
Pincode*
State*
Country*
Phone No 1*
Phone No 2*
Contact Person*
Designation*
Mobile No*
Email
Website
CompanyType*
BusinessType*
SSI / MSME Lic No.
PAN No.
PAN Name
GST No.
Trade Name
BILLING DETAILS :
Address*
Pincode
Country
SHIPPING DETAILS :(if other than billing details)
CONTACT MATRIX :
Purchase Department
Name of Contact Person
E - Mail ID
Contact No.
Technical Department
Account Department
Other Department
Contact No
DOCUMENT TO BE SUBMITTED :
Pan Card
GST Certificate
Certificate of Incorporation
SSI /MSME Licence
MOA & AOA
Partnership Deed
Address Proof of Branch / Works
IE Code (For, Overseas Customer)
DECLARATION :
We hereby declare that the information furnished and true to the best of our knowledge. We agree that rendering false information in the application shall debar us for enlistment with AEROLAM in future.
Place
Date
FOR OFFICE USE ONLY
Customer Code :
Credit limit:
Name of Sales Person :
Payment Terms :
Remarks :
Password*
Confirm Password*
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