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Username (required)
Email (required)
First name (required)
Last name (required)
Instagram page:
Facebook page:
Youtube channel:
Other social media links:

Company name (required)
NIP
Company Registration Number VAT (required)
Address line 1 (required)
Address line 2
City (required)
Country (required)
Postcode/ZIP
State/County
Phone
Website

Attach a document scan (required) of your business activity containing the most important of the above data: name and company headquarters.

Type of buisness
Type of sale
In which city You operate
The average turnover company(monthly)
Where did you find out about our brand
What type of products do you market/distribute
What are the other brands you market/distribute
What are your primary and secondary distribution channels?
How many outlets do you cover in your network?
Do you also retail? How many retail outlets do you have?

Total number of Salesmen in your team
Total number of merchandisers in your team
What is your target/estimate sales volume for ActivLab products?
Briefly tell us your strategy: how do you plan to launch and market ActivLab products for your markets?

Additional info