Dear Sir / Madam,

I am interested in including an AMAZONAS article in what I/we offer and also request to be admitted into the AMAZONAS specialist dealer network.
  Title
  Surname*
  First Name*
  Company * (incl. type)
  General Manager (if different)
  Address*
  Post/Zip Code* City*
  Country*
  Tel. / Fax*
  Email*
  Internet
    The fields marked with a * must be completed
 
  Company Details
  In order to get to know your company better, we require the following details from you:
How many employees work at your company?      people
You operate in:* a retail outlet/branch    of m²
  a wholesaler
  a central purchasing unit/branch
  a purchasing association
  a mail order company
  the travel industry
  other
Your branch is:*      Gardening
  Outdoor
  Camping
  Baby / Childrens Specialist Shop
  Natural Goods (ecological)
  Furniture
  Gifts/Accessories
  other
The details you have provided to us will only be recorded for internal statistics and service purposes. Naturally we will treat your details with the utmost confidentiality and guarantee that we will not pass them onto a third party. If requested we will delete your details.
  Your opinion is important to us!
  How did you find out about us?     
  Other comments: wishes, suggestions, advice etc.
 
       
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