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A setting up technician
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; A setting up technician

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Company name* :
E-mail* :
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Address* :
Phone* :
Mobile :
Fax :
Guardian* :
Proprietor
Mandatary
CIN N°* :
Date :
AT :
Character references (family, other contacts ..)* :
Coordinates* :
Field of activity* :
Seniority* :
Useful Address* :
License Tax* :
On behalf of* :
Bank* :
Agency* :
Banking Situation* :
Equipment owned by the company or the manager: :
Vehicles* :
Although immobliers* :
Commercial funds* :

Main Suppliers: :
Air Conditioners* :
Appliances* :
other* :
Products Marketed* :
Reference of the agreement with COALA* :
Signatory to the Convention* :
Observations :
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