registrationcard-e

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1. Your company name:


________________________________________________________________________________________


2. Legal address:


________________________________________________________________________________________


3. Bank requisites:


________________________________________________________________________________________


4. Office address:


________________________________________________________________________________________


5. Phone ( _____ ) ________________________ ; Fax ( _____ ) ________________________ ;
   
   Telex ________________________ ; Teletype ________________________ ;
   
   E-mail ______________________________ ; Internet _____________________________________ .
   
   
6. Company managers (Name, Position, Phone):


________________________________________________________________________________________

________________________________________________________________________________________


7. Stuff ______________________ Subsidiaries _______________________________________
   
   
8. Spheres of activity:


________________________________________________________________________________________

________________________________________________________________________________________


9. Additional services:


________________________________________________________________________________________


10. Questions, requiring RUTI participation:


________________________________________________________________________________________

________________________________________________________________________________________

DIRECTOR                                                                                                                                              (signature)