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Join our International Dealer Network (excluding France)
Opening a client account subject to acceptance.
*
Required field
Registered Company Name
Trade Name
*
Registered Company Name
*
Legal Status
Date of Establishment
*
Registration Number
*
VAT or fiscal registration number
*
Legal representative
*
Company website
Company phone
Company email
Approved Helmets Homologations
E22-06
Other
If others (please specify)
Billing Address
Billing Address
*
Address Line 2
City
*
Zip Code
*
Country
*
Delivery Address
Delivery Address
*
Address Line 2
City
*
Zip Code
*
Country
*
Store activity
Accessories Dealer
Membership in a buying group or multi-store retail group
*
yes
no
If yes, name of the buying group
If a group, specify the type
Branch
Franchise
Motorcycle Dealership (brands)
Brand name (if Motorcycle Dealership)
Agent
Agent name (if Agent)
Wholesaler
Main brands carried (if Wholesaler)
Distributor
Brands distributed (if Wholesaler)
Exclusive brands
yes
no
If yes, name of the brands
Internet activity
Do you have an e-commerce site ?
*
yes
no
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
Zip Code
Country
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
*
Customs duty rate (for non-EU countries)
BIC code
*
IBAN
*
Accounting Contact name
*
Contact email
*
Contact phone
*
Mobile phone
*
Signatory's Name and Title
Name and Title
*
Documents
Attach Bank Details (RIB)
*
Please attach a Business Registration Certificate (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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