We give you the opportunity to become one of our suppliers.

Please fill in the form here below which will be sent to our procurement department.

Supplier Application Form

Section 1: Supplier Identification

1. Company name:
2. Full Address:
3. Social Security N°:
4. Patent:
5. ID Fiscal N°:
6. Trade Register N°:
7. Website:

Section 2: General DATA

8. Creation Date:
9. Number of employees:
10. Main Activity:
11. Related Activities:
12. Turnover n-1 :
12. Turnover n-2 :
12. Turnover n-3 :
3 Key customers and their share in your total turnover:
Customer 1

City

Share/Turnover (%)

Customer 2

City

Share/Turnover (%)

Customer 3

City

Share/Turnover (%)

13. Quality and references :
ISO 9001

ISO 140001

Other certification:

Upload your references(PDF)

Section 3: Communication

13. Manager Name:
14. Manager phone N°:
15. Manager e-mail:
16. Land Phone:

Section 4. Motivation

Please specify the purchasing family that interests you
How did you discover EHM
Please explain briefly why you would like to become one of our suppliers:
You can attach your file here below if wished