You are on page 1of 2

CUSTOMERS’ INFORMATION FORM

SURNAME:

NAME:

DATE OF BIRTH:

ID OR PASSPORT NUMBER:

CITIZENSHIP:

ADDRESS:

CITY/ZIP CODE:

COUNTRY:

TELEPHONE/FAX:

E-MAIL:

VAT NUMBER/ΑΦΜ:_________________________________________________________

Terra Οlivia Customer’s signature

Paliouri Halkidiki, T. +30 2374092206


Email: info@terra-olivia.gr - Url: www.terra-olivia.gr
Paliouri Halkidiki, T. +30 2374092206
Email: info@terra-olivia.gr - Url: www.terra-olivia.gr

You might also like