AGENT APPLICATION FORM
Found the perfect match to your portfolio? Just fill in our Application Form below!

If you have applied in the last 3 months, you can call +44 (0)20 7193 2640 or send us an email info@antondell.com. We will make you introduction based on your earlier form.
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Brand(s) you are interested in: *
First Name *
Surname *
Email address *
Email address confirmation *
Your position in the company *
Company name *
Company website *
Social media profile (Facebook, Twitter or Linkedin) *
Telephone number *
Mobile/cell number *
City/town *
Country *
You are a(n) *
Required
When did you start being an agent/rep/distributor? *
Country(ies) you sell in: *
Regions you sell in: *
Brand(s) you currently represent or represented in the past: *
What do you sell? (tick all that apply) *
Required
What is your preferred currency? *
Your average wholesale price range *
Required
How do you work? (tick all that apply) *
Required
Do you charge additional fees? (If yes, please specify! E.g. showroom fee, trade show participation fee etc.) *
Anything else you want the company to know about you and your working history as an agent/rep/distributor.
What languages do you speak in your office? *
Required
In which language would you like to receive our emails? *
How did you hear about THIS offer? *
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