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Surplus
New Customer
Existing Customer
New customer
The information marked with * must be filled in!
General:
Company name: *
Contact name: *
Email: *
Telephone: *
Mobile:
Fax:
VAT Number: *
Country:
- Select -
België
Bosnia-Herc.
Bulgaria
Croatia
Cyprus
Czech Rep.
Denmark
Deutschland
Estonia
France
Greece
Hungary
Ireland
Italy
Latvia
Lebanon
Lithuania
Luxembourg
Macedonia
Nederland
Norway
Osterreich
Poland
Portugal
Romania
Schweiz
Serbia-Monten
Slovakia
Slovenia
South Africa
Spain
Sweden
Ukraine
United Kingdom
Language: *
- Selecteer -
Deutsch
English
Français
Italiano
Nederlands
Português
Español
Polski
Company information:
Owner name:
Year established:
Company information:
- Select -
Garden Center / Independent Retailer
Landscaper
Garden Center / Landscaper
Retail Grower
Horticultural Distribution Center
Wholesale / Grower
Chain
Golf Course
Institution
Wholesale Nursery
Other
Facility size inside (m²):
Facility size outside (m²):
Number of employees:
- Select -
1 - 5
6 - 10
11 - 20
21 - 50
51+
How would you like to receive information about our surplus stock?
E-mail:
SMS:
Invoice address:
Street: *
City/Town: *
Postcode: *
Delivery address 1:
Same as invoice address *
Name: *
Street: *
City/Town: *
Postcode: *
Delivery address 2: (optional)
Name:
Street:
City/Town:
Postcode:
Aflever adres 3: (optional)
Name:
Street:
City/Town:
Postcode:
Text:
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Account No:
Password:
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