Partner Access

Thank you for your interest in NASCO. To complete the registration process, please review the following information, print this message , fill in the details, sign it and fax it back to the attn: Customer Service on Fax# +______________.

Once your application has been approved, a New Accounts representative will contact you. Thank you again for choosing NASCO.

IMPORTANT: Please attach a copy of the 'Trade License' or 'Commercial Registration' issued by the local Department of Economic Affairs or Local Municipality.We won't be able to process the application without an authorized signature.

Company Name:
Physical Address:
P.O.Box #:
City:
Telephone:
Fax:
State:
Country:
Amount of annual sales: US$
Estimated monthly purchases from NASCO: US$
Which category best describes your primary business?	Direct Marketer Retail Distributor Technical Service and Consultant Manufacturer Value Added Reseller (VAR) Exporter
What are your annual purchases through distribution?	Under US$500,000 Over US$500,000 - US$1,000,000 Over US$1,000,000 - US$5,000,000 Over US$5,000,000 - US$10,000,000 Over US$10,000,000 - US$25,000,000 Over US$25,000,000 - US$100,000,000 Over US$100,000,000 - US$500,000,000 Over US$500,000,000
Contact Information It is important that you provide detailed information about the individuals we are to contact within your company.
Contact #1 - ( President, General Manager, Owner, Managing Director )
Name:
Title:
E-mail:
Telephone:
Fax:

Contact #2 - (Purchase Manager)
Name:
Title:
E-mail:
Telephone:
Fax:

Contact #3 - (Finance Manager)
Name:
Title:
E-mail:
Telephone:
Fax:

Contact #4 - (Sales Manager)
Name:
Title:
E-mail:
Telephone:
Fax: