Appendix to the Loyal Customer Application

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Company name*

Authorized person/s to order / purchase goods

PLEASE FILL ALL THE BOXES BY PERSON!

Name (1)

Identity number (1)

Phone number (1)

E-mail (1)

Please add personal e-post for every person

Name (2)

Identity number (2)

Phone number (2)

E-mail (2)

Please add personal e-post for every person

Name (3)

Identity number (3)

Phone number (3)

E-mail (3)

Please add personal e-post for every person

Invoices e-mail address

If different from given e-mail address

Delivery address/es of the goods

If different from the legal address

Additional information