FICHA DE REGISTRO CADASTRAL

1-) DADOS CADASTRAIS

Firma/Razo Social:
______________________________________________________
_________________________
Nome Fantasia:
______________________________________________________
_____________________________
Endereo:
______________________________________________________
_________________________________
Nmero: _________ Complemento:
___________________________ Bairro:
CEP: Municpio: UF: _______ Pas:
Telefones
DDD _______ Nmeros: ________________ / ______________ /
______________ / ________________
Fax:
DDD _______ Nmeros: ________________ / ______________ /
______________ / ________________
email: __________________________________________
web site: __________________________________
CNPJ/CPF: _____________________________
Inscrio Estadual: _________________________________
Inscrio Municipal: ________________________________
Data: _______/_______/__________
Forma de pagamento: Avista _________________ Ps pago
_________________
Pr- pago __________________ Prazo (Dias/
Ms)____________________________.
Conta Bancria
Nmero do Banco: _________________ Nome:
______________________________________________________
__
Nmero da Agncia: ___________________ Nmero Conta
Corrente: _______________________________________
Nmero do Banco: _________________ Nome:
______________________________________________________
__
Nmero da Agncia: ___________________ Nmero Conta
Corrente: _______________________________________