Distributor application - OTOMATIC 4 USA

Describe your experience in the machinery and equipment distribution industry: *

How many service technicians and how many salesmen does your company have: *

How much do you spend on product advertising on the Internet and what methods do you use: *

Do you participate in trade shows as an exhibitor: *

Are you able to invest in a showroom machines: *

Full Name / Company Name: *

Country / State / City *

Email *

Website *

I hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that any false information may result in the rejection of my application.

GDPR Agreement *

I consent to the processing of personal data in accordance with the Law on Personal Data Protection in connection with sending an inquiry through the contact form. Provision of data is voluntary, but necessary to process the inquiry. I have been informed that I have the right to access my data, the possibility of correcting them, request to stop processing them. The administrator of personal data is OTOMATIC SMOLEC I WRONKA SPÓŁKA JAWNA ul.Krakowska 83 C, 34 - 120 Andrychów. Data entered in the contact form will be processed in order to respond to your inquiry.

Distributor Application Form - Otomatic