I want to become a client Registration form: I want to become a client Company Identification No.: * Company name: * Registered office: * Correspondence address: State: * Tax No.: * VAT No.: Statutory body: * Bank account: Email for contractual matters: * Invoicing e-mail: Other information I am applying for registration of a specified product: * Electric and electronic equipment Batteries and accumulators Packaging and non-packaging products Is your company an importer of photovoltaic panels? (this information is required for registration) Yes No Does the electrical equipment contain batteries: * Yes No Method of sale: * Online shop Wholesale Retail Leasing Donate Custom needs Contract Note: Contact person responsible for agreements Contact person's name: * E-mail: * Phone No.: * Contact person responsible for reporting Contact person's name: * E-mail: * Phone No.: * Are you a foreign entity? (you are based outside the Slovak Republic) * Yes No Where does your company have a branch? Czech Republic Poland Germany Are you in communication with an ASEKOL sales representative? * Yes No If yes, please write with whom: Marketing consent: (I give my consent to receive up-to-date legislative and business information in the form of a newsletter.) If you do not give your consent, you will not be informed of new developments in legislative changes * Granted Non-granted Processing of personal data: (I consent to the processing of my personal data to the extent for the purposes as set out in the Personal Data Processing Policy.) * Granted If you are human, leave this field blank. Confirm
