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Partnership Application
Organisation Name
Organisation Type
(Required)
Select an option
Business
Interest Group
Educational/ Research Institute
Investor
Support Organisation
Governmental Organisation
Size
(Required)
Select an option
Individual entrepreneur – 1 person
Start up less than 5 years
Up to 10 employees
11 to 49 employees
50 to 250 employees
Over 250 employees
When was your organisation established?
(Required)
Adress
Zip code
City
Province
Country
Telephone
Email
(Required)
This mail address will appear on the Foodvalley website.
Website
Upload Company logo ( 800×800 px)
(Required)
Accepted file types: jpeg, png, pdf, jpg, Max. file size: 15 MB.
This logo will appear on the Foodvalley 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
Other persons that want to receive information (name and email address)
Other persons that want to receive information (name and email address)
Fill here name + email from other contact persons
Billing address
Organisation name
Billing contact person
Address
Zip code
City
Country
Billing email
VAT-Number
Purchase order (PO) number
If necessary
Confirmation
Consent
(Required)
By sending this form I agree to the terms and conditions as stated in the privacy statement > https://foodvalley.nl/en/privacy-statement/
Date
DD slash MM slash YYYY
Your name
Your job title
Name
First
Last
