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You are an official Renfert dealer. In order for you as a professional dealer to access our restricted area, we would ask that you first complete the registration form. Fields marked with an “*” are MANDATORY and MUST be completed.

Your e-mail address is also your user name. Please choose your individual password.

Title

First Name *

Last Name *

Please insert your official Renfert accounts receivable number *

Company

Street

Zip code

Town

Country *

Telephone

Cell

Email address *

Password *

Repeat password *

Data protection

The information, which is or may potentially be personal data, that must be entered in the ‘Register as a dealer’ form for ‘First name’, ‘Last name’ and ‘E-mail address’ will be used solely for the purpose of granting access to the dealer or specialist partner section of this website, as well as any communication in regard thereto, and is lawfully obtained in terms of the legislation. In the alternative, I consent to the processing for the above-mentioned purpose.

When the data provided to us is no longer required for the above-mentioned purpose, we will immediately delete all the data provided or, if applicable, as soon as the retention periods have expired.

Please note the information at data protection policy about the data processing that we perform and which sets out your rights in this regard.

Dealer Registration (For dealers only - not for dental labs or practices)