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Become a Dealer in France

Opening a client account subject to acceptance.

^*Required field

Registered Company Name

Trade Name^*

Registered Company Name^*

Legal form

Siret number or Business registration number^*

NAF Code or Activity code^*

VAT or Fiscal registration number^*

Legal representative^*

Company website

Company phone

Company email

Billing Address

Billing Address^*

Address line 2

City^*

Postal code^*

Country^*

Delivery Address

Delivery Address^*

Address line 2

City^*

Postal code^*

Country^*

Store Activity

Accessories Dealer

Membership in a buying group or multi-store retail group^*

yes

If yes, name of the buying group

Buying group name (if Other)

If a group, specify the type

Branch

Franchise

Motorcycle Dealership (brands)

Brand name (if Motorcycle Dealership)

Agent

Agent name

Internet Activity

Do you have an e-commerce site^*

yes

If yes, specify the URL of your E-commerce site

% of helmet sales (Physical store)

% of helmet sales (Online store)

Reseller Map Publication Info This information will be visible on the dealers map at www.roof.fr

Store opening days and hours

Store address

Address line 2

City

Postal code

Email (for consumer)

Phone (for consumer)

Website (for consumer)

Purchasing Contact

Helmet Purchasing Manager^*

Email^*

Contact phone^*

Mobile phone

Website Contact

Contact name^*

Contact email^*

Contact phone^*

Mobile phone

Accounting Information

Fiscal year-end date (dd-mm-yyyy format)^*

Email address for electronic invoicing^*

Accounting department contact name^*

Contact email^*

Contact phone^*

Signatory's Name and Title

Name and Title^*

Documents

Attach Bank Details (RIB)^*

Attach Business Registration (K-BIS)^*

Please attach a K-BIS (Business Registration) issued within the last 3 months.^*

Newsletter and validation

I would like to receive marketing information by email.

I confirm that I have read and accepted the general terms and conditions of sale . Any account opening implies acceptance of our general terms and conditions of sale.^*

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