國立清華大學環安衛E化管理系統

* Invoice number:

This tax ID has already been registered

* Vendor Code:

* Vendor Name:

* Vendor Type:

Chemical Suppliers

Waste disposal vendor

Manufacturer

* Venue Control Number:

a person in charge:

Contact Person Name:

Contact Person Phone:

Contact Person Email:

Address:

Phone:

Fax:

URL:

* Email Address:

Cellphone No.:

Company Registration Certificate:

Sales Permit:

* Account:

* Password:

* Password Confirm:

User Name:

Phone:

* Email Address:

I have read and agreed to the Personal Data Collection Notice and Consent Form