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DEALER APPLICATION FORM

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Information about the company



Company name
Suffix
Street / No.
ZIP
City
Country
 
Homepage
 
Management
 
TIN
VAT Reg.No.
 
Customer no.
 
 

Default delivery address (if different)



Name
Suffix
Street / No.
ZIP
City
Country
VAT Reg.No.

Contact persons



General
 
Name
Email
Telephone
Accounting
 
Name
Email
Telephone
Sales
 
Name
Email
Telephone
Engineering
 
Name
Email
Telephone

Your Sector



Your distribution channel



Where did you hear about us?



Do you already represent similar brands? If so, please give us examples.




Required documents or information

Only JPG, PNG and PDF files with a maximum of 5 MB!


Certificate of registration
Business registration

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