I want to book a booth in EXPO PESCA & ACUIPERU
At First Choice Stand Nº * In Option Two Stand Nº *

Last Name: *
First Name: *
Job Title: *
Company: *
Address: *
Country:  *
State: *
City: *
Zip Code: *
RUC: (only Perú)
Phone: *
Cell:
Email: *
Web
Display Products:
Method of payment

Bank transfer to account U.S.$ de Thais Corporation S.A.C.

Account Nº: 059-001032046-9
Owner: Thais Corporation S.A.C.
Bank: INTERBANK (BANCO INTERNACIONAL)
Address Carlos Villaran 150 - Urb. Santa Catalina - Lima 13, Peru
Tel:  (511)  219-2000
Swift: BINPPEPL
Credit Card
Expiry Date:
Card Nº : - - - -
The last three numbers of the card are listed at the back of the card next to the signature.
Owner Card
I.D. N°:
Security code: *