<%@ LANGUAGE = "VBScript" %> MECA Srl

Home

Meca do Brasil



  Contact :   MECA Srl info@meca.it
  21054 Fagnano Olona (Va) Italy
  3, str. prov. Busto - Cassano
  Tel. +39 0331 685605
  fax +39 0331 686340 / +39 0331 686279


DATA REQUEST FOR NEW CLIENT

Dear Sir,
please comletely filled up that form. All information requested to you will be only used for administrative need in observance of European law regarding privacy. Please keep us updated for any changes regarding the dates which you are going to fill up.
Complete name of company :
Vat number (Europe) Or Registration number of your company (Not Europe) :
  Fiscal code :
Country :
Address of legal branch :
City :
Cap :
  Province :
State department :
Complete address for delivery ( P.O. BOX IS NOT ALLOWED ) :
Courier :
  subscription number :
Phone number :
  Fax number :
Name of your bank :
Iban :
Swift code :
Bic code :
E-mail for invoice and administrative communication :
Mecas’ quilting machine type :
Mecas’ quilting machine serial number :
Mecas’ agent for your zone :
Note :
Name :
  Surename :
Email address :