add other Quality Approvals or Safety Certifications (Please use capital letters only)
production capacity
Batch Continous Kilo Lots Mutlitonne Up to tonne lots
production plants
cGMP Kilo plant Laboratory scale Large plant Pilot plant
LOCATIONS - LIST COMPANY LOCATIONS (UP TO 5)
city
state
country
Headquarters
Plant Site
Plant Site
Plant Site
Plant Site
INVOICE / RECEIPT OF PAYMENT TO: - (*) required fields
(*) Company:
(*) Address:
(*) City, Country:
(*) State:
(*) Zip:
(*) Phone:
(*) Fax:
(*) Email:
Web:
(*) Contact:
VAT/IVA (must be completed only by EU)
Payment
Bank transfer to Unicredit / Agency
n. 10 / Via Modestino 3 / 20144 Milan / Italy
swift & sort codes. 02008 01610 / CIN E /international swift
code UNCRITB1210
Euro: account n.000000360322 - IBAN IT 71E0200801610000000360322
Check to our office
CREDIT CARDS : (VISA - MASTERCARD - AMERICAN EXPRESS) we will contact you for further details
I would like to book:
advertising: size
- b/w - color
- vertical
- horizontal
- square
- island
advertorial: company profile
- product focus
- b/w
- color
package A: 1 page ad + 1 page profile
- b/w
- color
package B: 1 page ad + 2 page profile
- b/w
- color
NO BANK CHARGES CAN BE DEDUCTED FROM THE ABOVE SUM
OUR ADDRESS
B5 srl - Via Cesare da Sesto 10 - 20123 Milano - Italy Tel.
0039 02 83241119 Fax 0039 02 8376457
email
*ALL LISTINGS ARE SUBJECT TO APPROVAL AND PAYMENT