|
Complete la presente
solicitud guárdela en su disco, luego adjúntela en un email o imprímala y
envíenos un FAX, gracias |
|
|
|
|
|
ar-po |
|
|
|
|
|
Charcas 1468 (1704)
- Ramos Mejía -
Pcia de Bs. As. |
|
|
|
|
Telefax: (54-11) 4653 2340/7651 |
|
|
|
|
E-Mail : ventas@ar-po.com |
|
|
|
|
|
|
FECHA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
RAZON SOCIAL o NOMBRE Y
APELLIDO DEL TITULAR |
|
|
|
|
|
|
|
|
|
|
________________________________________________________________________________________________ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DOMICILIO FISCAL |
|
|
|
|
|
|
|
|
|
|
|
|
Calle
_______________________________________________________________Nro.______________Piso________Dto.________Codigo
Postal_____________ |
|
Localidad_______________________Telefono________________________Fax__________________________E-mail______________________________________ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DOMICILIO COMERCIAL |
|
|
|
|
|
|
|
|
|
|
|
|
Calle
_______________________________________________________________Nro.______________Piso________Dto.________Codigo
Postal_____________ |
|
Telefono______________________________Fax_______________________________E-mail_________________________________________________________ |
|
|
|
|
CUIT
Nro._____________________________Responsable________Ingresos Brutos
Nro.____________________________________________________________ |
|
|
|
|
|
|
|
|
|
|
INTEGRANTES DEL
DIRECTORIO DE LA SOCIEDAD |
|
|
|
|
|
|
|
|
|
|
|
|
Nombres
y Apellido______________________________________________DNI / LC /
CUIT___________________________________________________________ |
|
Calle
_______________________________________________________________Nro.______________Piso________Dto.________Codigo
Postal_____________ |
|
|
|
|
|
|
|
Nombres
y Apellido______________________________________________DNI / LC /
CUIT___________________________________________________________ |
|
Calle
_______________________________________________________________Nro.______________Piso________Dto.________Codigo
Postal_____________ |
|
|
|
|
|
|
|
Nombres
y Apellido______________________________________________DNI / LC /
CUIT___________________________________________________________ |
|
Calle
_______________________________________________________________Nro.______________Piso________Dto.________Codigo
Postal_____________ |
|
|
|
|
|
|
|
|
REFERENCIAS COMERCIALES |
|
|
|
|
|
|
|
|
|
|
|
|
Empresa_______________________________________________________________________________Telefono________________________________________ |
|
Credito
Asignado_______________________Antiguedad con la que
opera________________________________Contacto_________________________________ |
|
|
|
|
|
Empresa_______________________________________________________________________________Telefono________________________________________ |
|
Credito
Asignado_______________________Antiguedad con la que
opera________________________________Contacto_________________________________ |
|
|
|
|
|
Empresa_______________________________________________________________________________Telefono________________________________________ |
|
Credito
Asignado_______________________Antiguedad con la que
opera________________________________Contacto_________________________________ |
|
|
|
|
|
Empresa_______________________________________________________________________________Telefono________________________________________ |
|
Credito
Asignado_______________________Antiguedad con la que
opera________________________________Contacto_________________________________ |
|
|
|
|
|
|
|
|
REFERENCIAS BANCARIAS |
|
|
|
|
|
|
|
|
|
|
|
|
Banco_______________________________________________Sucursal_________________Tipo
y Numero de Cuenta____________________________________ |
|
Acuerdo
SI /
NO____________________Monto____________________________________Antiguedad de
la Cuenta______________________________________ |
|
|
|
|
|
Banco_______________________________________________Sucursal_________________Tipo
y Numero de Cuenta____________________________________ |
|
Acuerdo
SI /
NO____________________Monto____________________________________Antiguedad de
la Cuenta______________________________________ |
|
|
|
|
|
|
|
|
|
|
|
|
RODADOS |
|
|
|
|
|
|
|
|
|
|
Monto de Credito Solicitado |
Reservado Para ar-po |
|
|
|
|
|
|
|
|
|
|
|
Firma_______________________________________ |
USD_____________________________ |
|
|
|
|
|
|
|
|
|
|
Aclaracion___________________________________ |
Cheques
propios SI / NO_____________ |
|
|
|
Cargo_______________________________________ |
Firmante__________________________ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
