FLOWER KICKZ E INVOICE (PSI)

FLOWER KICKZ E.E
ΕΜΠΟΡΙΟ
ΗΡ. ΠΟΛΥΤΕΧΝΕΙΟΥ 28-30 - ΡΟΔΟΣ
Τ.Κ 85100
ΑΦΜ 801572721 - Δ.Ο.Υ ΡΟΔΟΥ

MAKE SURE YOU FILL THE FORM WITH YOUR LEGAL NAME.

YOUR NAME MUST BE THE SAME ON ALL FIELDS.

(PASSPORT or NATIONAL ID/ PAYPAL-BANK TRANSFER/ SHIPPING INFO)

INVOICE

PRIVATE INDIVIDUAL INVOICE
INVOICE No.:*
INVOICE DATE: *

MonthDayYear
Date
INVOICE INFORMATION
SENDER E-mail:*
example@example.com
PAYMENT METHOD:*
Paypal E-mail:
example@example.com
BANK NAME:
BIC:
IBAN:
Ban/email:
bic
iban:
CUSTOMER INFORMATION
FULL NAME (MUST BE THE SAME NAME ON SHIPMENT DETAILS AND ON PAYPAL/BANK):

First NameLast Name
NAME: *
ID TYPE:*
PASSPORT NO.:*
ID No.:*
ID:*
Upload photo of passport:*

Cancelof
Upload photo of ID number:*

Cancelof
PHONE NUMBER:*
PHONE:*
ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
WHAT PLATFORM ARE YOU CHATTING US WITH:
FACEBOOK NAME*
DISCORD USERNAME*