Client Registration Form

To become a client of GMS Instruments, we need specific information regarding the company, contact person and banking information. After this information is provided, evaluated and confirmed by our Customer Service, you and your company can place purchase orders at GMS Instruments. If you have any question please contact our Customer Service. Without the completion of the form below, no purchase orders can be made at GMS Instruments.

1Our reference

2General company info

3Contact person

4Billing address

5Banking Details

6Signature

Our reference number provided by GMS Instruments(Required)

Our reference number can be found on the top left section of every quotation
Contact
Please find your GMS Instruments contact person at the bottom of your quotation after Contact:

Company Name(Required)
Email Address(Required)
Phone Number(Required)
Website
Address(Required)
Street Address City County / State / Region ZIP / Postal Code Country
H.R. registration number
IMO number
Vessel name

Company name on billing(Required)
VAT / BTW no.(Required)
Address on billing(Required)
Street Address City County / State / Region ZIP / Postal Code Country
Invoice Email(Required)

Name of bank(Required)
Address on bank(Required)
Street Address City County / State / Region ZIP / Postal Code Country

Nanda Groenewoud

Teamleader Customer Service

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General contact

Driemanssteeweg 190
3084 CB Rotterdam
The Netherlands

Client Registration Form

Nanda Groenewoud

Product Catalog

General contact

Service Center

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