Date:
Bidder Company Name:
Bidder Company Website:
Bidder Company Address:
Bidder Company HQ Phone:
Bidder Company HQ Fax:
Authorized Contact Person & Title:*
Authorized Person E-mail:
Authorized Person Cell Phone:
Authorized Person Signature:
Bidder Company Logo:
Please Upload a Picture of Buyer Company Logo.
If Your Company Does Not have a Logo:
"Instructions: * Only One Contact Person Details can be Provided"