Agency application form Short Agency Application Form This form is designed for initial and quick review of the agency application. If initially approved, a supplementary form and complete information will be received at a later stage.Basic InformationFirst and last name / Company name*Country and city of activity*Type of applicant:* Real person Company / legal group Contact InformationMobile phone number (with country code)*Valid email* Main website or social network (if any)History and field of activityCurrent field of activity*Activity history in years*Do you have experience selling or distributing food products?* yes no Type of cooperation requestedType of cooperation* Representation broadcast and distribution Wholesale Private Label Area of activity (city/province/country)*Short descriptionPlease explain in a few lines why you are interested in working with Tahonella.*Confirm information* I confirm the accuracy of the information entered and am prepared to complete the final form upon initial approval.