Request for dealership

Thank you for submitting your request.

Due to the great success of Little Dutch, and the many requests for new dealerships which come along with it, we have decided to not accept any new customers for the time being.

Product category * 

Company name * 

Contact person * 

Gender 
Male
Female

Address * 

Postal code * 

City * 

Country * 

Phone number * 

Mobile number 

Email address * 

Web site * 

Company registration number 

VAT number * 

Bank account number 

Type of store * 

Status * 

Which brands do you allready sell? * 

In case of a brick store, how many square meters is your store? In case of an online shop, how many monthly visitors do you have? * 

Are you active on social media? If so, please confirm on which accounts. * 

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Extra information 

*Required fields