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Company Information Form – Homeuse

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Company Information Form – Homeuse

Company Information

Trading Address
Trading Address
City
State/Province
Zip/Postal
Country
Is the Postal Address the same as the Trading Address?
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country

Main Contact Information

I’m the
Owner Name
Owner Name
Manager Name
Manager Name

Purchase Authorisation

Who is Authorised to make purchases on your behalf?

List down all the authorised personnels to make purchases on your behalf

Authorised Personnel
Authorised Personnel
First Name
Last Name
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Your Representative

Account Team Contact Information

If this is the same as above, leave this section blank
What’s the best way to contact the accounts team?
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country

Acknowledgment

I hereby confirm that the above information is true and correct and I acknowledge that any purchases made are subject to JHTA’s Trading Terms & Conditions and JHTA’s Warranty Statement.