Distributor request

Company name *

Managing director

Contact person *

Address *

Country *

Phone *

Fax

E-mail *

Website *

Describe shortly what sort of equipment and corporation you request *

Model(s) of interest *

Number of employees in your company *00-56-1516-3031-5051-100101-200201-

Age of your company

CVR number of your company

Make a short description of your company *

What type and brand of brake testers have your company been selling in the past? *

Describe the experience in your company with marketing and sales of test equipment for workshops and vehicle inspection bodies *

Describe size and competence of the service organisation of your company *

If your company does not have a service organisation, then describe shortly how you plan to handle commissioning, warranty and after sales service of BM products *

What type of customer segments do you currently serve? *

What type of customer segment do you plan to serve with BM products? *

Describe shortly the technical requirements to the equipment you are interested in *

Describe shortly the authority requirement to test results *

Equity of your company (in EURO) *

Profit or loss before tax last year (in EURO) *

Additional comments and/or information

5 + 1 = ?Please prove that you are human by solving the equation *