CUSTOMER INFORMATION

Enter company information
Company Name:
Address 1:
Address 2:
Town/City:
State/Province/Region/County:
Country: ZIP/Postal Code:
VAT No.:
Contact Information
Contact Name:
Phone:
Mobile Phone:
Fax:
E-Mail:  
WWW:
Delivery Information (Transfer the company information)
Contact Name:
Company Name:
Address 1:
Address 2:
City:
State/Province/Region/County:
Country: ZIP/Postal Code:
Phone:
Mobile Phone:
Fax:
E-Mail:
Hitechniques Ltd., U17 Block Q, Grants Rd., Greenogue Bus. Pk., Rathcoole, Co. Dublin
Tel: 01-2572323 ; Fax: 01-2572335 : Email: info@hitechniques.ie

Copyright © 2004 - All Rights Reserved