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R 5. E-MAIL ADDRESS 6. WEB SITE ADDRESS 7. NAME & TITLE OF COMPANY REPRESENTATIVE 8. DIRECT E-MAIL ADDRESS OF COMPANY REPRESENTATIVE 9. TELEPHONE NUMBERS OF COMPANY REPRESENTATIVE (A) DIRECT NUMBER (B) MOBILE NUMBER 10. DATE COMPANY WAS ESTABLISHED (MIN. 3 YEARS REQUIRED) 11. GROSS ANNUAL SALES FOR THE LAST THREE YEARS YEAR CHF YEAR CHF YEAR CHF 12. LEGAL STRUCTURE (CHECK ONE) Co.

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