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Application for the dealer agreement

 

 
 
 

1. Business

Registered business name:
 
Address:
 
Zip Code:
City:
   
VAT no.
Main phone no.:
Direct phone no.:
     

2. Contact person purchasing

Name:
E-mail:
Phone no.:

 
 

3. E-mail application

Invoice:
 
Offer:
 
Track and Trace:

 
 

4. Credit information

 
I would like the following terms of payment to be met:
payment up front/payment card 
Credit

 
 

5. Access to Fourcom’s website

If you want a specific password to Your account please, write it below. Otherwise the password will be assigned to Your account with a possibility of changing it after first login.
Specific Password:

 
 

6. Terms

 
Fourcom ApS
Østre Fælledvej 8
9400 Nørresundby

Send your proposal of terms to: salg@fourcom.dk or by fax number +45 9632 2101


  The undersigned hereby certifies that 
future trading will be taking place according to the Fourcom's current trading, sales and delivery terms:  
 
 


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