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General Information about the Distributor

Name of the company/distributor *

Name of the manager *

Full address *

Phone number *

Email address *

Website (if applicable)

Tax identification number *

Legal status *LLC, SAS, individual company, etc.

Year of establishment *

Main sectors of activity *

Types of agri-food products *

Types of agri-food products : Others (specify)

Covered regions *

Distribution methods *

Distribution methods : Others (specify)

Do you have certifications? *YesNo

If you have certification : specify

Compliance with hygiene and safety standards? *YesNo

If Compliance with hygiene and safety standards is no : specify

Copy of the commercial register

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Copy of the tax identification number

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Sanitary compliance certificate (if applicable)

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List of products with technical details

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