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Customer Details Form

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Novatech Measurements Limited, 83 Castleham Road, St. Leonards on Sea, East Sussex, TN38 9NT
Email: info@novatechloadcells.co.uk Website www.novatechloadcells.co.uk
Telephone: 01424 852744 Fax: 01424 853002
Customer Details Form
Customer Details
Name
Address
Town/City
County/Province
Post Code/Zip Code
Country
Order Contact Name &
Designation
Telephone Number
Email Address of Contact
Website Address
Company Number
Vat Number
How did you find our Company
and products? Eg Google, Other
Search Engine, publication,
word of mouth, already have a
product
Novatech Product Information
Please explain how the Loadcell /
Instrumentation you are ordering
will be used or what the
application is
What is the final use of the
Loadcell if your process /
application is not the final one?
In which Country will the Loadcell
ultimately be used?
Delivery Details
Name
Address
Town/City
County/Province
Country
Post Code/Zip Code
Telephone Number
Email Address
Any additional details regarding
the delivery
Certificate of Origin required
requesting this after the quotation is issued may
incur an admin fee
Any other Customs
requirements?
Yes / No
Novatech Measurements Limited, 83 Castleham Road, St. Leonards on Sea, East Sussex, TN38 9NT
Email: info@novatechloadcells.co.uk Website www.novatechloadcells.co.uk
Telephone: 01424 852744 Fax: 01424 853002
Invoice Details
Name
Address
Town/City
County/Province
Country
Post Code/Zip Code
Telephone Number
Email Address
Statement Email Address
Authorised by
Print Name
Designation
Date
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