New client - Tzag Elita

New customer opening form

Details
Company / business name * (required)	Company ID * (required)
Company Ltd. * (required) YesNo
Address * (required)	Date of establishment * (required)
Postal Code	City * (required)
fax	Telephone number * (required)
Contact Name	Manager Name * (required)
Email address * (required)	Mobile number * (required)
Interested in receiving advertising material * (required) YesNo
In accordance with Amendment No. 40 to the Communications (Bezeq and Broadcasting) Law 5768 - 2008. We are obligated to receive your written consent by SMS, in order to continue contacting you via email and / or messages.

Names of owners / shareholders
Name and surname * (required)	ID * (required)
Private Address * (required)	Phone Number * (required)
name and last name *	ID
Private Address *	Phone Number

Additional vendors
Name	Scope
Additional vendors
Name	Scope
Additional vendors
Name	Scope

Bank details
the bank's name	Branch
Account Number	Name a contact at the bank

Preferred means of payment ChecksCashcreditEFT