Partnership Registration Form

Partnership Application

Organisation Name

Organisation Type(Required)

When was your organisation established?

Adress

Zip code

City

Province

Country

Telephone

Email(Required)

Website

Upload Company logo ( 800×800 px)(Required)

Accepted file types: jpeg, png, pdf, jpg, Max. file size: 15 MB.

Please Upload your company logo to use on our website

Business identification number(Required)

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

Brief description of the organisation

Expectations of the partnership

Partnership Type(Required)

Network partner

Community partner

Community

The Healthier Food Community

The Personalised Nutrition Community

The Protein Community

The Regenerative Agriculture Community

The Upcyling Community

Person that can be contacted by Foodvalley

Name first contact person

Email first contact person

Phone first contact person

Billing address

Organisation name

Billing contact person

Address

Zip code

City

Billing email

VAT-Number

Purchase order (PO) number

If necessary

Confirmation

Date

Your name

Your job title

CAPTCHA

Partnership Application

Other persons that want to receive information (name and email address)