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New contract Contract extension
APPLICATION TO CONCLUDE A TRADE CREDIT INSURANCE CONTRACT This application does not obligate you to conclude a trade insurance contract with the insurer.
* Compulsory fields
Company name *
Head office address *
Registration address *
Company code *
VAT payer's code
Number/date of issue of the company's registration certificate
Description of activities *
Sectors of buyers' activities
Associated companies
Company's payment account *
Bank
Person responsible for credit management (contact person) *
Position *
Telephone *
Mobile telephone
Fax
Email *
Information about company's owners