Open rekening

e-mailadres

DXVFLEXCORE_EMAIL_ADDRESS_CONFIRM

Wachtwoord

Het wachtwoord moet ten minste 6 cijfers bevatten

Bevestig wachtwoord

Mevrouw

De heer

Voornaam

Achternaam

Bedrijf (facultatief)

Extra informatie (facultatief)

Straat

Huisnr.

Postcode

Stad

BTW-IDENTIFICATIENUMMER (facultatief)

Land

Staat:

Telefoon

Telefax (facultatief)

Mobiele telefoon (facultatief)

Persoonlijke telefoon (facultatief)

I agree that my data will be used permanently for the customer account. A revocation of my consent is possible at any time with effect for the future.

HANDELSREGISTRATIE

ATTENTION: Purchase at special conditions ONLY after activation by our sales department!

Please accept me as a trader with this registration. I am aware that I can only purchase at dealer conditions AFTER the application has been checked. (Our sales department will contact you as soon as possible).