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Application for Sales Representative or Independent Technical Service.
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General Information
Name::
Company Name:
Address:
Geographical Area:
Phone number:
Phone number # 2:
E-mail:
Type of Organization:
Corporation
Personal
LLC
Application for:
Sales Agent
Technical Support
Area of Knowledge /Industries served
Subdistributors:
Yes
No
>> Companies or Brands represented or serviced
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>> Comercial References
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>> Business strenght
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Phone.
(506) 2279 5777 |
Fax
(506) 2279 5799 |
P.O. Box
025369 SJ 006 Miami, Fl 33102 USA
P.O. Box
6953-1000 San José, Costa Rica