Abhijit Impex - BeerMachine (INDIA) - Inquiry

Abhijit Impex - BeerMachine (INDIA) - Inquiry

Inquiry Trade Inquiry


Name :
Date of Birth :	(dd/mm/yyyy)
Gender :	Male Female
Address :
Town :
State :
Email :
I'm Interested in: Beer Machine Beer Mix Other
Other :
I understand that The Beer Machine and the Beer Mix is/are to be sold and/or consumed under the guidelines of the Law, ( for the consumption of liquor) prevailing at the time of its sale and/or consumption in the respective state(s) of INDIA and I am over the legal age to purchase this product.


Name of the Company :
Name of Authorised Person :
Designation of Authorised Person :
Mobile Number of Authorised Person :
Company – Activities :
Address – Office (H.O) :
State :
Telephone :
Fax :
E-mail Address :
Company Website :
VAT Registration Number :
PAN No :
Remarks / Notes :
I understand that The Beer Machine and the Beer Mix is/are to be sold and/or consumed under the guidelines of the Law, ( for the consumption of liquor) prevailing at the time of its sale and/or consumption in the respective state(s) of INDIA and I am over the legal age to purchase this product.

Abhijit Impex (India) Pvt. Ltd.

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