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Your Trusted Partner for Quality Supplies

Please include this form data and send back us by email to cs-dps@squeeze.co.id or WA (Whatsapps)
to CS (0817-7077-2777) accompanied by PO (PURCHASE ORDER), Thank You.

DATA FORM ACCOUNT

OUTLET NAME : Haus Bar & Restaurant

DELIVERY ADDRESS : Jl. Sempol 11 A Banjar Batu Pererenan, Mengwi

PHONE & FAX NUMBER : 082144369097

NPWP : 43.688.679.0-906.000

COMPANY NAME : PT. Sama Haus Bali

COMPANY ADDRESS : Jl. Sempol 11A Banjar Batu, Pererenan, Mengwi RT.00 RW.00

CONTACT PERSON/S :
OWNER :Lingdia Martanto HP : 081339393975
EMAIL : samahausbali@gmail.com
PURCHASING :Gita Nirmala HP: 082144369097
EMAIL : gita.haus@gmail.com
FINANCE : Hendra HP: 082144369097
EMAIL : samahausbali@gmail.com

TOP……………………………………………… (*filled by our finance)


COD

Payment Transfer :
BANK : OCBC NISP
AC NAME : CV. PRIMA INDONESIA
AC NO : 160800013080 (IDR)

( Gita Nirmala ) ( Hendra ) ( )

SIGN PURCHASING SIGN FINANCE SIGN SALES

***NOTE:
PO received before 16.00 WITA (by WA or email)
Please Attached Fotocopy KTP/ID, Tax Number (NPWP), SIUP

CV. Prima Indonesia Jl. Raya Sesetan No. 320, Denpasar 80223, Bali Phone: 0361-721851 / 52
Fax: 0361-720735

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