COMPANY INFORMATION:

Company Name (required)

Office Address (required)

Office Telephone Number (required)

Office Fax Number

Email Address (required)

Web Address

Company's Registration Year (establishment)

Registration Number (local)

Legal Status of the company

VAT ID Number

Company's Field of activity

CONTACT PERSON INFORMATION:

Contact Person, Title (required)
 Mr. Ms.

Contact Person, Full Name (required)

Contact Person, Email Address (required)

Contact Person, Phone Number (required)

We/I hereby certify that the information contained herein and attached hereto is complete and accurate to the best of our/my knowledge.

Please, fill the form bellow:

Are you interested for a representative's contract (required):
 Yes No

Are you interested for a trading company's contract (required):
 Yes No

Your field of business is it relative with the mining or cement industry?:
 Yes No

Your education / expertise is it relative with the mining or cement industry?:
 Yes No

Select No of Employees of your company:
1 - 4 persons5 - 10 personsOver 10 persons

Have you ever been trading in the past hardfacing products? (required):
 Yes No

Select Years of experience in hardfacing products:
1 - 3 years4 - 10 yearsOver 10 years

Are you able to travel to Greece?:
 Yes No

Are you willing to participate in expos that are relative with our products?:
 Yes No

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