Buyers Program Application Form

Title

Please select a title

First Name (as in your passport)*

Please enter your first name

Last Name (as in your passport)*

Please enter your last name

Phone

Mobile

Email*

Please enter a valid email address

Job Function*

Please select a job function

Other job function (please specify)*

Other Job Function

Company*

Please enter your company name

Company Country*

Please select your company's country

Company City

Company Address

Company Postalcode

Company Website*

Please enter your company's website

Main Company Activity*

Please select your main company activity

Other Main Company Activity

Other Main Company Activity*

Additional Company Activities

Other Additional Company Activities*

Total Sales in Euro

% Total Sales of Italian products

EMPLOYEES NUMBER

Please list some of your main customers

ARE YOU ALREADY IMPORTING PRODUCTS FROM ITALY?*

Yes

Not yet

Please select if you are already importing from Italy.

PRODUCTS ALREADY IMPORTED FROM ITALY

PRODUCTS ALREADY IMPORTED FROM ITALY*

PRODUCTS OF INTEREST - HORTICULTURE*

Horticulture - Other*

PRODUCTS OF INTEREST - LANDSCAPING & ARCHITECTURE*

Landscaping & architecture - Other*

PRODUCTS OF INTEREST - TECHNICAL PRODUCTS*

Antiparasitics and fertilizers

Energy and water saving systems

Hydroponic tools and equipment

Machines and equipment for plant production and maintenance

Machines and equipment for the maintenance of green spaces

Sustainability and green energy

Others ( please specify )

Technical products - Other*

Other Product of Interest

Main reasons for your candidacy

ENGLISH SPOKEN*

Yes

OTHER SPOKEN LANGUAGES*

Other spoken languages - Please specify*

NOTES

I have read and understood this Privacy Policy*

Please read and consent the Privacy Policy

Consent to receiving marketing communications*

I give my consent

I do not give my consent

to receiving commercial/promotional communications, by automated means (such as email, newsletters) and traditional methods (such as telephone calls with operator) made by the Data Controller on the basis of the product preferences that I have expressed as well as products/services of the Data Controller or companies owned by the Data Controller has an interest, market surveys and statistical analyses (purpose no. 9 of Chapter 5. PURPOSE OF PROCESSING AND LEGAL BASIS).

Please check inserted values.

Buyers Program Application Form

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