Fax-registration form on www.organic-bio.com

Basic registration on www.organic-bio.com is free of charge. Submitting this form you agree with publishing all information on our web.

Please print this page, fill in the informations and send the form by fax to the following number:
+41 (0) 22 7898990

Company Name:

Address:

ZIP:

City:

Region:

Country:

Phone:

Fax:

Contact person Mrs / Mr
Name:

Family name:

E-mail:

www:

Main certification company:

Services:

Products:

Notes:

City and date:

Signature:

IPOREX SA, av. de Champel 69, CH-1206 Geneva, Switzerland
Phone +41 (0) 22 7898989, Fax +41 (0) 22 7898990, E-mail info@organic-bio.com