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Please complete in full – type or print in ink.
S
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C
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N
N
1
1
:
:
C
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A
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N
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Y
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D
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4
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YEAR ________ CHF _____________________
YEAR ________ CHF _____________________
YEAR ________ CHF _____________________
1
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Corporation
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Joint Venture Franchise Non-Profit
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Retailer Publication /Broadcaster Manufacturer Wholesaler
Construction Contractor Professional Services Consultant Other
Distribution / Dealer Service Provider Freight/Transportation
1
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Yes If yes, state organization name(s) & year(s)___________________________________
__________________________________
No
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C
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T
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:
:
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S
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7
7
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.
B
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M
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B
B
E
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R
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3
3
:
:
S
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P
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D
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U
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G
G
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N
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F
F
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M
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A
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T
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I
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N
N
I
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N
N
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N
N
G
G
L
L
I
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H
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C
C
H
H
2
2
:
:
(a) Certified/audited financial information i.e. Balance Sheet and Income Statement, copy of your
signed income tax return (US applicants only) or your Annual Report to Shareholders.
(b) Current and valid copy of certificate of incorporation/business certificate or national equivalent.
S
S
E
E
C
C
T
T
I
I
O
O
N
N
4
4
:
:
C
C
E
E
R
R
T
T
I
I
F
F
I
I
C
C
A
A
T
T
I
I
O
O
N
N
1
1
.
.
S
S
I
I
G
G
N
N
A
A
T
T
U
U
R
R
E
E
I, the undersigned, hereby accept the WTO General Terms & Conditions, a copy of which has been
provided to me, and warrant that the information provided in this form is correct and, in the event of changes,
details will be provided as soon as possible:
Name: ________________________________________ Title: _____________________________________
Signature: _____________________________________ Date:
_____________________________________
1
The bank account to which any payment will be made must be the company's bank account.
2
WTO reserves the right to request additional documents relating to your company to substantiate the registration
request, e.g. Letters of reference from at least three (3) clients to whom your company has provided goods/services
over the past twelve (12) months; Copy of latest ISO Certificate or equivalent.
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