Order request form

Company details

Company type

Country

VAT Number

Company Incorporation / Registration number

SDI code

Company name

Telephone

First Name

Last Name

Head office

Street

Postcode

City

E-mail

E-Mail confirmation

Sales contact person Amilon

Have you received a partner code from Amilon? *

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Order information

PO, order number or reason to be inserted on the invoice

Order type

Email where to send the invoice

Confirm the email where to send the invoice

Name to send the order

Surname to send the order

Email where to send the order info

Confirm the email where to send the order

Notes/Message

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Order request details

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Brand*	Country*	Denomination*	Quantity*	First Name	Last Name	E-mail	Add/Remove

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If filled in, First Name and Last Name are displayed on the voucher.

	declares that it has read and accept the general terms and conditions of sale. If there is a specific agreement with Amilon governing the supply of gift cards, this agreement shall apply instead of the general terms and conditions of sale.
	likewise, declares that he/she has read and accepts all the clauses of such T&C, including those which, due to the importance of their content and effects, require individual acceptance, specifically: articles 5.3 (Limits on the use of Gift Cards and related indemnity), 5.6 (Theft, loss, or misuse of Gift Cards), 5.7 (Amilon's right to cancel Gift Cards), 5.8 (Management of the Merchant's inability to supply Gift Cards), 5.9 (Code Usability Term), 6 (Amilon's liability regarding Gift Cards and limitations of liability), and 9 (Applicable law and jurisdiction). condizioni generali di vendita
	declares, assuming all related responsibilities, that he/she is entitled to assume the obligations set out in the general terms and conditions of sale (as the legal representative of the company or a person duly authorized for this purpose). condizioni generali di vendita

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Order request form

Company details

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Order request details

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