New customer application

We would be delighted if you are interested in becoming a customer with us. As an importer and wholesaler, we only supply tradespeople and would therefore like to get to know you a little better.

Please complete the following new customer application form. We look forward to hearing from you!

Management

Salutation:

Born on:

Contact

Salutation:*

Billing address

Same delivery address? YesNo

Different delivery address

Opening hours for delivery:

Monday		o'clock
Tuesday		o'clock
Wednesday		o'clock
Thursday		o'clock
Friday		o'clock
Saturday		o'clock
Sunday		o'clock

Payment method Invoice: 14 days netDirect debit: 10 days less 2% discount, I hereby authorize the company Vosteen Import Export GmbH, 27753 Delmenhorst to collect the due invoicesfrom our account. This authorization can be revoked at any time. Please enter your bank details in the next step.

Bank details

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Proof of trade

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New customer application