Registration form

company name and billing address

Company *

Apartment/unit

Address *

City *

Postal Code *

Country

Different delivery address (fill out only if necessary)

Company

Apartment/unit

Address

City

Postal Code

Country

General contact details

Phone *

Fax

E-mail *

Website

Email for our invoice dispatch

User names and contact details

Name *

Surname *

Phone *

E-mail *

Function

other

Add more

Name

Surname

Phone

E-mail

Function

other

Add more

Name

Surname

Phone

E-mail

Function

other

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Name

Surname

Phone

E-mail

Function

other

Company entity (please check)

Company entity

Other

Are you a member of a purchasing associations: (fill out only if necessary)

Association Name

Partner no. :

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Association Name

Partner no. :

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Association Name

Partner no.

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Association Name

Partner no. :

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Association Name

Partner no. :

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Association Name

Partner no. :

Tax information

Tax NO.: *

VAT ID: *

Bank account details

Account owner

Bank name

IBAN

SWIFT

Comment

Information on data protection and revocation can be found in our data protection declaration on https://www.futurafloors.com/datenschutzerklaerung.html, as well as in the information on data processing, which you can find on page 3.
Please fill out our company registration sheet carefully and send it back to us as well as a copy of your business registration / commercial register entry.
You hereby confirm our general terms and conditions and agree that the data you provide may be stored by us and used for advertising.

Payment Information

Terms of payment: (please check)

With this payment and method, you will shortly receive our SEBE direct debit mandate, which you have to fill out. Until the investment is successful, the term “payment on account” applies.
If the invoice takes place via Einkaufsverband, the agreed payment modalities apply.

Accept gdpr and terms and conditions *

Registration form

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