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CUSTOMER INFORMATION

Customer type

Document type

Document number

Business name

Start year activity

In which category would you classify your business?

How many tyres do you change weekly?

How many mounting station do you have in your workshop?

Which type of products do you consume?

The workshop is specialist in...

Approximately, for each type of tyres, which quantity do you consume for every 100 units?

Premium %

Quality %

Budget %

CONTACT INFORMATION

Tradename

Contact person

Address

Postal Code

City

Province

Phones

Fax

Name

Email

Web

Where did you hear about us?

Fair/conference/event

Others

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