RMI registration form

How would you like to be addressed?

Mr.

Mrs. / Ms.

This field is required.

First name*

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Last name*

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Your e-mail*

Please fill in a valid email address.

Phone number (Optional)

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Company information

Company*

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Ultimate Benificial Owner (Optional)

This field is required. The owner(s) or the person who is in charge of the company.

Company Website (Optional)

This field is required. If you choose not to provide the information right now, please be aware that we might ask for this information at a later moment, it could slow down the approval process.

VAT Number (Optional)

This field is required. If available, please enter your VAT-number

Upload Chamber of Commerce Registration

(.pdf, max. 6 MB) This field is required.

Company address*

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Postal Code*

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City*

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Country*

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Invoicing address if different from company address

Invoicing address (Optional)

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Invoicing postal code (Optional)

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Invoicing city (Optional)

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Invoicing country (Optional)

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Company legal representative information

First name*

This field is required.

Last Name*

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Email*

Please fill in a valid email address.

Preferred language*

This field is required. Choose your preferred language

Preferred User ID (Optional)

This field is required. Requirements for user id: Minimal 5, maximum 20 characters, allowed characters: 0..9, a..z. After your registration is accepted an initial password will be communicated.

Company category*

This field is required. Please see 'Standard navigation - Chapter 10: Request contact for specific RMI' for more information on appropriate choice

Desired access (at least one must be selected!)

DAF Parts information

DAF Service information

DAF Parts and Service information

DAVIE (DAF Vehicles only)

Training

Repair & Maintenance History

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Motivation (Optional)

This field is required. If you choose not to provide the information right now, please be aware that we might ask for this information at a later moment, it could slow down the approval process.

I agree that my personal data will be send to the DAF RMI department. I hereby allow DAF Trucks N.V. to save my personal data and use it for future contact purposes.

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RMI registration form

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