Il Supermarket
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Personal Information
Name: (First/Last)
Company Name
Street
City/Town:		State
Zip:		Country
Phone		Fax
Email
Payment Method	Bancker's Transfer (only)
Please send your payment to the following data bank : > > > > > > > > > > >	Name :		Pierfranco Rossi ( il supermarket )
	Account number :		13262x
	Name of bank :		Banca Antoniana Popolare Veneta filiale di: Conegliano -TV- Italy
	Abi :		5040
	Cab :		61620