Application form

Were you mediated by someone?

Shop number

Name of the person

General Information

Title

First name

Surname

Street

ZIP

City

E-mail

Telephone

Date of birth

Nationality

Place of birth

Information on your education / professional activity

Graduation

Education as

Information about your planned independence as an agency partner

Did you already have personnel responsibility?

If so, what number of employees?

Do you have sales experience?

Do you have experience in handling food?

Which locations would you consider?

Desired location(s)

Financial information

As an agency partner, you do not have to have equity, but you must provide a deposit.
A security deposit is your security.

Can you provide a deposit of € 5,000 - € 10,000 (depending on the size of the store)?

If not, how much can you provide as a deposit?

Bedingungen

I confirm to the best of my knowledge, that all information is true, correct and complete.

Send an e-mail copy to me

We inform you that we process personal data within the scope of this application procedure. The data controller is Valora Food Service Deutschland GmbH, Limbecker Str. 25-37, 45127 Essen. You can find further information under privacy policy.