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Legal Name *

Usual Name *

Establishment date *

Address *

City *

Postal Code *

Phone *

Fax *

Web Site *

General Email *

Promotion E-Mail *

Price List E-Mail *

Billing E-Mail *

Buyer's Name *

Buyer's E-mail *

Accountant Manager *

Accountant E-mail *

Bank's Name *

Bank's Address *

Account Number *

Transit *

GST *

TVQ *

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Name of the group (Write ''None'' if you are not part of a group) *

Transportation company *

Account *

Name of Impex representative *

First shareolder *

Address *

Cell *

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