Dealers application Propose your company

Four-One – Application for dealership in free areas:

Application for area dealership:

Fields marked with (*) are required fields

Registered Company Name*:

Street *:

Postal code and Municipality*:

Country*:

Telephone*:

Fax:

E-mail*:

Reference person:

Name and Surname*:

Telephone / Mobile*:

E-mail*:

Areas of operating activities:

Information about the company:

Number of employees:

Number of sales operators:

Number ot technical operators for customer service*:

(mandatory condition for application)

Type of activity:

Dealer

Consumer products

Equipment

Manufacturer

Equipment

Machines

Installer / maintainer

Plant technician

Other

Specify:

Do you have exhibition areas?

YES

NO

Do you take part in local or international fairs?

YES

NO

If YES, how many and which:

Notes:

In compliance with the Personal Data Protection Code No. 675 of 31.12.1996, please complete and return this form to agree on use and disclosure of your personal data for the purposes and within the limits prescribed by current regulations. To edit or delete your personal data please write to info@four-one.it. Four-One guarantees confidentiality and correct use of your personal data.

I agree (mandatory to send the form)

We are searching for dealers

Four-One is constantly searching for dealers in free areas

Contact us directly using this form, paying attention to fill in correctly your data that will be used to contact you and give an answer to your requests or needs.

We are always available for any further information on our telephone number:

Tel: +39.059.933489