Partnership Registration Form

Please provide us with the requested information to finalise your partnership of Foodvalley NL.

Additional Partnership Information

1. Organisation

Organisation Name

Organisation Size

When was your organisation established?

Adress

Zip code

City

Province

Country

Telephone

Email(Required)

Website

Upload Company logo ( 800x800 px)(Required)

Accepted file types: jpg, Max. file size: 1 MB.

Please Upload your company logo to use on our website

Business identification number

(e.g. Chamber of commerce, EIN, Kamer van Koophandel)*

Brief description of the organisation

Expectations of the partnership

Partnership Type(Required)

Networkparnter

Community partner

Community

The Protein Community

Upcycling Community

Personalised Nutrition

2. Partnership Contacts

Person that can be contacted by Foodvalley NL

Name first contact person

Email first contact person

Phone first contact person

3. Billing address

Organisation name

Billing contact person

Address

Zip code

City

Billing email

VAT-Number

Purchase order (PO) number

If necessary

4. CONFIRMATION

Date

Your name

Your job title

CAPTCHA

Submit