ELKO partner registration form
Thank you your registration form received
Company name (according to certificate of registration):
Trading name (if different):
Registration number:
VAT number:
Website:
Phone:
Fax:
Business profile:
Number of employees:
Company turnover in previous year USD:
What brands of products are currently in your portfolio?:
Product groups of interest:
Bank details
Company account number:
Bank code:
Bank:
Branch:
Legal address
Address:
City:
County:
Postal code:
Use this address as office address:
Office adress
Address:
City:
County:
Postal code:
Use this address as delivery address:
Delivery address
Address:
City:
County:
Postal code:
General Manager
Name, surname:
Phone:
Mobile phone:
E-Mail:
Finance contact person
Name, surname:
Phone:
Mobile phone:
E-Mail:
RMA contact person (contact person in warranty service issues)
Name, surname:
Phone:
Mobile phone:
E-Mail:
eCom commercial system main user (with admin rights)
Name, surname:
Phone:
Mobile phone:
E-Mail:
Registration form filled by
Name, surname:
Title:
Phone:
E-Mail:
We agree to receive at this e-mail address information about ELKO marketing programs, new products, other news: (please enter e-mail address):
I agree to let ELKO Grupa AS use my personal data in accordance to Privacy Policy.
– Mandatory fields
ELKO Group guarantees the confidentiality of the information.