New Customer Card
Sales Consultant Sales Unit
*
Sales Unit
Sales Consultant Email
*
example@wurth.ae
Customer Name
*
Kindly provide the details as per the Trade License
Telephone
*
*97140000000
Fax
*9710000000
Mobile
*
97150000000
Customer Company Email
*
example@example.com
Office Address
*
Street Address
Street Address Line 2
City
State / Province
Po Box
Pinned Location
*
*Link from Maps is required
Emirates/City
*
Customer Business Code
*
No. of Employees
*
Trade License
*
Browse Files
File Format( pdf, jpg, jpeg, png, gif)
Cancel
of
VAT Certificate
Browse Files
File Format( pdf, jpg, jpeg, png, gif)
Cancel
of
LPO
Browse Files
File Format( pdf, jpg, jpeg, png, gif)
Cancel
of
Note
Contact Person
Purchaser
*
Accountant
Store Keeper
Submit
Should be Empty: