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CREDIT  FORM
 

Please complete all form. (Gelieve te voltooien al vorm.)
     
Full Business Name (Volledige handelsnaam)
Registration number from Chamber of Commerce  (Registratienummer van Kamer van Koophandel)
Address (Adres) 
State (Staat)  
Phone (Telefoon)
Fax
E-mail Address (E-mail adres)
Contact Person's Name (De naam van de contactpersoon)
Payment Terms (De termijnen van de betaling)

 

 Net 30 Days Net 15 Days

 

 Net 7 Days

                                                                                                       

Thank you for registration in Prime Distributors. Please wait for office reply. (Dank u voor registratie bij Prime Distributors. Gelieve te wachten op registratie bevestiging.)
 

Distributing  Appleton Rum, Cruzan Rum, Bacardi Rum, Whisky, Wine, Vodka, Gin, Cognec, Tequila, Champagne, Beer, Energy Drinks, Milk, Water and more...
 

Prime Distributors, #62B, Balashi, Santacruz, Aruba Dutch Caribbean  Ph: +297-585-4884 Fax: +297-585-5194

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W a r n i n g  :  R e s t r i c t e d   f o r   u n d e r   1 8   y e a r s   o l d.