( Aceasta formalitate de comanda
este valabila NUMAI in scopul de a facilita completarea contractului
de publicitate tip, in forma scrisa / This purchase order is
only for advertising contract type, in write form).
Numele companiei (Company name):
Nr. inreg. reg. com. (Register number):
Cont nr. (No. cont):
Banca (Bank):
Cod fiscal (Fiscal code):
Adresa (Address):
Localitate (City):
Codul postal (ZIP Code):
Judetul (State):
Tara (Country):
Telefon (Phone):
Fax (Fax):
E-mail (E-mail):
Web site (adresa - address):
Persoana de contactat (Contact person):
Tipul de reclama solicitat (Advertising type):
Banner (Banner):
Durata reclamei (Advertising time):
Valoarea contractului (Price):
Cerinte speciale (Other special request):
As dori un raspuns (I would like a reply): Da/Nu (Yes/No)
Va rugam sa ne trimiteti
acest formular de comanda la adresa de mai jos (Please send
us this order at the following address):
Adresa/Address: Str. Ciurchi nr. 115A, bl
B8, sc. A, et. 4, ap. 4 ;
C.P.
1191 O.P.4 ; IASI 6600 ROMANIA
Tel: +40(0)232-266412;
(0)745-888879;
Fax: +40(0)232-266412;
E-mail: webmaster@mase-plastice.ro
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