NEW CUSTOMER

REGISTRATION FORM
Date :
Sales Name :
INDIVIDUAL COORPORATE
CONTACT INFORMATION

Customer Code :
Customer Name :
Address :

NPWP :
Contact Person :
Phone & HP :
Email Address :

PAYMENT INFORMATION
CBD CREDITE LINE
Contact Person :
Department :
Phone & HP :
Email Address :

INVOICE EXCHANGE INFORMATION

Exchange Day :
Contact Person :
Address :
Department :
Phone & HP :
Email Address :
Other Information :

SHIPPING INFORMATION
Contact Person :
Address :
Department :
Phone & HP :
Email Address :

Prepared by, Approved by,

( ............................) (................................)

Noted : Attachment NPWP dan SKT