Application as aniba specialist dealer (info@aniba-design.de)
You have selected the form on the application to become an aniba design dealer.
To allow faster processing, please send us the information as specific as possible.
Fields marked with * are mandatory.
Company name*
Company Management (name)*
Contact
First Name*
Name*
Street*
ZIP-code, City*  
Country*
Phone*
(please with phone extension of the contact)
Fax
Mobile Phone
E-Mail*
Birthday
Website
Companys year of foundation*
value-added tax Identification number
Please insert your European Community TAX-ID, others insert Special Code
Type of dealer Garden center
Garden furniture retail
Restaurant / Hotel
Architects
Sanitarian business / Craftsmen
Electronics business / Craftsmen
Sanitarian wholesale
Electronics wholesale
Gardening
Furnishing houses
Mail-order business
Purchasing Association
Internet retail
Hardware store
Others
Favoured method of payment Buying per COD
Buying per credit card
Buying per Paypal
Buying per immediate money transfer
Buying per direct debiting