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Supplier Registration Form

PAI-FO-COM-001

1
Intro
2
General Information
3
Available Services
4
Uses of Minerals in conflict
5
Customer service

This questionnaire is applied to all companies that wish to offer their products and services in order to have an overview of them and ensure their reliability

All fields required must be filled

Filled By:

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General Information

Your Offer

Top 3 Client

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Available Services

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Uses of Minerals in conflict

USE OF CONFLICT MINERALS – 3TG This section seeks to determine if the supplier complies with the Non-Use of Minerals in Conflict Regulations issued by the Securities and Exchange Commission (SEC) of the United States of America under Section 1502 of Dodd Frank Reform Of Wall Street and the Consumer Protection Act.
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Customer service

Working Hours

Executive Contacts

Company Owner

Company Manager

Employees assigned to ELCATEX Group

Emergency contacts during holidays or non-working hours.

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REQUEST FOR NEW CUSTOMERS

(For Business Development Department)

1
Company
2
Contact Info
3
Program Info
4
Final
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Telephone Numbers

E-mail address contacts

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GENERAL INFORMATION OF THE PROGRAM

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GENERAL INFORMATION OF THE PROGRAM

Elcatex charge for all the samples requested. As part of our policies, we refund all the money paid for them once we receive the first purchase order as a credit on the first commercial invoice.

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