Partnership Registration Form

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

Partnership Registration

1. Organisation

Organisation Name

Organisation Size

Note: start-ups are up to 5 years, please indicate the date of establishment of your organisation below

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: jpg, Max. file size: 10 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

Community partner

Partnership Type

Network partner

Community

Personalised Nutrition Community

Community

The Protein Community

Community

Upcycling Community

Community

Healthier Food Community

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

Partnership Registration Form