Supplier Registration Form

Company Details and General Information

Company Name (as per trade license) * :

Company Website :

Company Address :

Delivery/Warehouse Address :

Contact Information

Contact Person * :

Email Address * :

Phone Number * :

P.O Box/Postal Code :

Legal Information

Company Type :

Company Specialization :

Trade License Number :

Date Of Issue:

Expiry Date:

Tax ID :

VAT Registration Number :

Authorized Persons to be contacted in accounts for payments and invoices:

Persons Name :

Persons Position :

Persons Email :

Persons Phone Number :

Company Shareholders, Directors & Managers

First Name shareholders,Managers :

Position Name :

Email Address :

Phone Number :

Bank Details

Currency * :

Bank Country *

Payment Terms * :

Bank Name * :

Bank Code :

Bank Address * :

Account Name * :

Account Number * :

SWIFT/BIC Code * :

IBAN * :

Another Currency :

Another Payment Terms :

Another Bank Name :

Another Bank Code :

Another Bank Address:

Another Account Name :

Another Account Number :

Another SWIFT/BIC Code :

Another IBAN :

I confirm that the information provided is correct and I have read and agree to Lamis Detergents Company LLC general terms and conditions of sale and to the privacy statement on Lamis website. In the event of changes, details will be provided as soon as possible.