Brok Business Centre11 Shinnaya St., 49107 Dnepropetrovsk, Ukrainå
Phone: +380 (562) 33-33-83
Fax: +380 (562) 31-85-00
info@bbc-ua.com

Questionnaire form

To becoming the participant of Partner-Customer program, or obtaining an additional information or consultation, pleaset fill in questionnaire form.

Fields in bold are to be completed
Participant's information
Surname, name, patronymic:
Contact phone number :
Time convenient for calling: from  till  (GMT +02:00)
E-mail:
Status of the person:
(for example: manager of the company, manager of subdivision, employed with subdivision, agent)
Status of operations:
(for example: import, export)
Main product range:
Periodicity of deliveries:
(for example: daily, once a week, once in 2 weeks, once a month)
Your question:

 

The address of this page in the Internet: http://www.bbc-ua.com/en/en/partner-programs/partner-customer/form/