Client Form
FINANCE DEPARTMENT
Thank you for submitting the form, the contract will be ready within 2 business days.
Sincerely,
Financial department.
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Sales person (name / surname)
Key introducer (if applicable)
Website
Client category
Arts & Entertainment
Autos & Vehicles
Beauty & Fitness
Books & Literature
Business & Industrial
Computers & Electronics
Finance
Food & Drink
Gambling
Games
Health
Hobbies & Leisure
Home & Garden
Internet & Telecom
Jobs & Education
Law & Government
News
Online Communities
People & Society
Pets & Animals
Real Estate
Reference
Science
Shopping
Sports
Travel & Transportation
World Localities
Daily conversions
Conversion rate
Average basket
Price model
Revenue Share
CPA
CPL
CPM
CPC
Price model Value
Potential revenue Blue
Potential markets
Company Name (legal name)
Company Address
Tax Number
Company Business number
Name of Signee (of the cfontract)
Contact person
Contact person’s email
Invoice Currency
Afghan afghani
Albanian lek
Algerian dinar
Angolan kwanza
Argentine peso
Armenian dram
Aruban florin
Australian dollar
Azerbaijan manat
Bahamian dollar
Bahraini dinar
Bangladeshi taka
Barbadian dollar
Belarusian ruble
Belize dollar
Bermudian dollar
Bhutanese ngultrum
Bolivian boliviano
Bosnia and Herzegovina convertible mark
Botswana pula
Brazilian real
Brunei dollar
Bulgarian lev
Burundi franc
Cabo Verdean escudo
Cambodian riel
Canadian dollar
Cayman Islands dollar
Central African CFA franc
CFP franc
Chilean peso
Chinese Yuan Renminbi
Colombian peso
Comorian franc
Congolese franc
Cook Islands dollar
Costa Rican colon
Croatian kuna
Cuban peso
Czech koruna
Danish krone
Djiboutian franc
Dominican peso
East Caribbean dollar
Egyptian pound
Eritrean nakfa
Ethiopian birr
European euro
Falkland Islands pound
Faroese krona
Fijian dollar
Gambian dalasi
Georgian lari
Ghanaian cedi
Gibraltar pound
Guatemalan quetzal
Guernsey Pound
Guinean franc
Guyanese dollar
Haitian gourde
Honduran lempira
Hong Kong dollar
Hungarian forint
Icelandic krona
Indian rupee
Indonesian rupiah
Iranian rial
Iraqi dinar
Israeli new shekel
Jamaican dollar
Japanese yen
Jersey pound
Jordanian dinar
Kazakhstani tenge
Kenyan shilling
Kuwaiti dinar
Kyrgyzstani som
Lao kip
Lebanese pound
Lesotho loti
Liberian dollar
Libyan dinar
Macanese pataca
Macedonian denar
Malagasy ariary
Malawian kwacha
Malaysian ringgit
Maldivian rufiyaa
Manx pound
Mauritanian ouguiya
Mauritian rupee
Mexican peso
Moldovan leu
Mongolian tugrik
Moroccan dirham
Mozambican metical
Myanmar kyat
Namibian dollar
Nepalese rupee
Netherlands Antillean guilder
New Taiwan dollar
New Zealand dollar
Nicaraguan cordoba
Nigerian naira
North Korean won
Norwegian krone
Omani rial
Pakistani rupee
Papua New Guinean kina
Paraguayan guarani
Peruvian sol
Philippine peso
Polish zloty
Pound sterling
Qatari riyal
Romanian leu
Russian ruble
Rwandan franc
Saint Helena pound
Samoan tala
Sao Tome and Principe dobra
Saudi Arabian riyal
SDR (Special Drawing Right)
Serbian dinar
Seychellois rupee
Sierra Leonean leone
Singapore dollar
Solomon Islands dollar
Somali shilling
South African rand
South Korean won
South Sudanese pound
Sri Lankan rupee
Sudanese pound
Surinamese dollar
Swazi lilangeni
Swedish krona
Swiss franc
Syrian pound
Tajikistani somoni
Tanzanian shilling
Thai baht
Tongan pa’anga
Trinidad and Tobago dollar
Tunisian dinar
Turkish lira
Turkmen manat
UAE dirham
Ugandan shilling
Ukrainian hryvnia
United States dollar
Uruguayan peso
Uzbekistani som
Vanuatu vatu
Venezuelan bolivar
Vietnamese dong
West African CFA franc
Yemeni rial
Zambian kwacha
Comments (invoice, price model etc.)
DOCUSIGN?
Yes
No
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