Partner Registration Form

Thank You for Your interest in ercato.de!

To obtain more information and in order to access this site, You are invited to become a partner of ercato.de. This involves that You sign a mutual Non Disclosure Agreement (NDA) on behalf of Your organisation.

After submission of the following form You will receive:

An NDA to be signed and to be sent back by ordinary mail.
Your access-password by email after receipt of NDA signed by Your organisation.

Nothing will happen if You submit this form but do not sign the NDA

Last Name:
First Name:
Affiliation:	Private Company
Company: ("Private" if not applicable)
Street:
City, Zip-code, State: (as required for ground mail)
Country:
Email address:
Suggested username:
Comment:

Note: fields in bold are required!