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Application Form
Application form
Company name (complete)
*
VAT number
*
Registered company address
*
Company registration number
*
Country of incorporation
*
Date of incorporation
*
DD
MM
YYYY
Phone
*
Website
Email
*
Shipping address
*
Director (complete name)
*
Type of business
*
Wholesaler
Retailer
Distributor
Manufacturer
Other
Authorized employee
Complete name (purchasing manager 1)
*
Complete name (purchasing manager 2)
Skype-ID (purchasing manager 1)
Skype-ID (purchasing manager 2)
Phone (purchasing manager 1)
*
Phone (purchasing manager 2)
E-mail (purchasing manager 1)
*
E-mail (purchasing manager 2)
Signature (purchasing manager 1)
Signature (purchasing manager 2)
Attachment that need to be completed
• Copy of company registration
• Copy of VAT number document
• Owner or director copy of ID document
• Utility bill (invoice for electricity, internet, office rent, etc)
Declarations
I/We confirm that all required tax releases for trading will be conducted correctly and on time in accordance with EU rules and/or Estonian tax legislation.
I/We declare that the above information and annexed documents are complete and correct and truthful.
I/We allow to verify the statements made above and annexed documents.
I/We accept the terms and conditions (sales and delivery conditions) of Navy Blue OÜ.
I/We confirm that we will notify Navy Blue OÜ about any changes immediately.
Director
Complete name
*
Complete name
Position within the company
*
Position within the company
Date of birth
*
DD
MM
YYYY
Date of birth
DD
MM
YYYY
Signature
Signature
Complete name
*
Position within the company
*
Date
*
Date Format: DD dot MM dot YYYY
Signature
Official company stamp
Phone
This field is for validation purposes and should be left unchanged.
