DEALER APPLICATION

Please complete the following information in order to apply for Mavic dealership.

Commercial name *

VAT number *

Company *

Manager first name *

Manager last name *

Address *

City *

Zip code *

Country

Phone *

Mobile *

Mail *

Fax *

Purchasing manager *

Accounting manager *

Do you have a physical store with a repair workshop?

Yes, with a minimum surface of 50m2

No / Yes, with a surface inferior to 50m2

What are the opening hours?

What is the total shop area?

We are sorry, your request can't be accepted. You still have the opportunity to reach us by completing and sending the form.

What is the total workshop area? *

Message

Which brands are you selling? *

Do you have a internet web site?

Yes

What is your internet website url? *