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Ein Unternehmen der

We are looking for distributors in many countries.

If you are interested to sell our products to medical and cosmetic customers in your country, please fill out this company profile.

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* Erforderliche Daten
Company name *
Address *
Country *
Telephone *
Fax
E-mail *
VAT no.
Contact and position in company *
Territory covered *
Background company information
Date company established
Number of personnel employed
Number of sales representativess
Trading history
Turnover for previous 2 years
Other distribution agencies and products handled by distributor
Typlogy of habitual customers
What regulatory approvals are needed for importation and sale of the product
Local taxes/VAT
Special requirements
Courier account no. (TNT, Fedex, DHL, UPS)
Additional information
I agree that my contact details of allocation and for any queries are saved permanently. Note: This consent can be revoked at any time with future effect by sending an email to info@dermaroller.de *

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