Customer form - Interhal

Fill in the customer form below as completely as possible. All fields with an * are required. After submitting the customer form, you will receive a confirmation email. Haven’t received an email after 10 minutes? Check the junk mail / spam folder and put the email address info@interhal.nl in the list of trusted contacts.

Company name*
For which company do you want to fill in the customer form?*
- Interhal
- Abodee
- Both
Salutation contact person*
- Mr,
- Miss
Name contact person*
First name Middle name Last name
Your Email address*
Function
Industry / Type of store
Company address*
Street + number Postal code Place Country
Different invoice address?
Invoice Address
Street + number Postal code Place Country
Different delivery address?
Delivery address
Street + number Postal code Place Country
Phone number*
Commercial Email address*
Email address for invoice*
Email address for order confirmation*
Email address for webshop*
IBAN-number*
VAT-ID*
delivery days and times*
Remarks and comments
GDPR / Privacy policy*
- Yes, I agree that my personal data will be processed by the Interhal website.

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