New Customer Registration Form

Smart Things Corp

admin@smartthingscorp.com
Nombre de la Empresa*

Nombre de la EmpresaNIT/RUT/IDENTIFICACION FISCAL
Customer Details:
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
E-mail*
example@example.com
What products do you buy?

Please add contact persons, autorice to buy

	Full Name	Whatsapp	Email
1
2
3

File Upload : Id owner and Company RUC

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Signature

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Take picture of your ID
Forwarder Company information

Atn:__________________ Name : _________________ Telefono : _______________ Email: _________________

Complete Address

CityState

Zip Code
Should be Empty: