Application form - Fusion Mineral Paint Europe

First + Last Name

Business name

Please choose

Years in business

Street name + number

Postal code

City

Country

Phone (please include country code)

VAT number (if available)

Please list your website and social media profiles here if you have any (Facebook, Instagram, Pinterest, Youtube, Tiktok, etc)

Do you currently carry a paint line, if so which one(s)?

Tell us a bit more about yourself, your business and your plans

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