Supplier Registration

Form for Prospective Suppliers

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* Fields marked with an asterisk are mandatory

General Company Information

* Company Name: * Language: Homepage: Tax Jurisdiction Code: * Currency: * Title: * Tax Number Type: * Tax Number: * Tax type:
Address * Country: * Region: * District: * City: / * Postal Code: * House Number: / * Street: Building: / Floor: / Room: Detalles de la empresa (Solo para Argentina / Only for Argentina) * * * * * Área donde podría brindar servicio Refinería Campana Bs As (CABA) Terminal Galvan – Bs As Neuquén Terminal San Lorenzo – Santa Fe Salta Chubut Santa Cruz NOA(Litio) Otros Seleccione la cámara empresarial a la que pertenece (solo si aplica): ACIPAN CEIPA CAPESPE ADINEU CAMARCO CAPMIN GAPP Camara GOLFO CUCEI UIC CIQYP UEJ UIJ CASEMI CMJ CAPEMISA UICA CIMA CAPIPE CAPPROMIN CASEMICA		Communication * Phone Number: / Extension: Fax Number: / Extension: * E-Mail:

Contact Details

Title:
* First Name:
* Last Name:
Academic Title:
Department:
Function:

* Phone Number: / Extension:

Fax Number: / Extension:

* E-Mail:

* Language:

* Country:

Product Categories *

THE CATEGORIES CHOSEN AND SUBSCRIBED BELOW WILL BE TAKEN INTO ACCOUNT FOR FUTURE PURCHASES

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Data Privacy Statement

Data Privacy Statement

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