EmailMe Form - Customer Dynamics New Account Form NO

Akzo Sales Rep Name *
Akzo Sales Rep eMail *
Main Customer Segment *
Account Name *
Address *
Street Address
Address Line 2
*
Postal / Zip Code
*
City
Territory *
VAT Number *
Phone Number *
Fax Number
Company eMail *
Website
Account Classification
Delivery type *
Distributor 1 *
(If indirect, otherwhise Akzo)
Dealer Franchise
If applicable
Current Status *
Account Classification - Account Type Level
Account Type Level 1 VR *
Account Type Level 2 VR *
Account Type Level 1 CV *
Account Type Level 2 CV *
Account Type Level 1 > Stage 1 Manufactor or Workprovider
With this choice as Level 1 - Please comment kind of customer.
Account Classification - Segment detail
Size Based Segment *
Repair pr. week - Very small: <5 /Medium: <24 /Large: <49/Very Large: >50
Customer Value Rating *
Dealership OEM *
Car Brand
If Dealership Yes
Car Brand Precentage
If Dealership Yes
Paint Brand
Current Paint Brand *
Glasurit
Dupont/Axalta
PPG
Spies Hecker
Octoral
Nexa
Standox
Other
If Akzo choose "Other" and remark Akzo in the field.
AkzoNobel Target Brand (1) *
AkzoNobel Target Brand (2) *
Other Comments
Contact Persons
Contact Person (1) *
Job Title *
eMail *
Mobile Number *
Other
Credit Control
Other Comments
Image Verification

Please enter the text from the image:
[Refresh Image] [What's This?]