General business data

Fields marked with an * are required.

Are you planning to resell the goods you purchase through Ingram Micro?

No Yes

Unfortunately, we can not process your request.

Ingram Micro bvba/sprl is a distributor / wholesaler. Due to various agreements we have entered into with our current customers and suppliers, we only sell our products to resellers

Kind regards,

Ingram Micro bvba/sprl

You will be re-directed shortly to the Ingram Micro website

* Company name:

Tradename (if applicable) :

* Phone number:

Website:

* VAT number:

Are you affiliated with a central purchasing organization? If yes, what is the name of the organization?

* Date of establishment:

* On what basis do you practice your business activity?:

Fulltime Parttime Projectbasis

* Have you been an Ingram Micro bvba/sprl customer before? If yes, what is the reason for your new registration?

No Yes
You have received a different legal structure.
You are no longer a member of a purchasing organization.
You do not know whether your customer number still exists.
You have not done business with Ingram Micro for an extended period of time and your customer number no longer exists What was your previous Ingram Micro customernumber?

else:

Address details

Visiting address:

* Street and house number:

* City:

* Province:

* Postal code:


Billing address:

* Is the billing address different than the visiting address?

No Yes

* Street and housenumber:

* City:

* Province:

* Postal code:

Shipping address:

* Is the delivery address different from the visit address?

No Yes

* Straat and housenumber:

* City:

* Province:

* Postal code:

Contact information

Contactperson:

Requestor

Administrator account?:
Yes

Gender:

* Initial(s):

Language:

* Last name:

* Function:

* Work phone number:

Additional phone number:

* Email: (Please note: For an administrator account a personal email address is required. The email address must contain (part of) the name of the administrator, regardless of the company- or domainname)


Contact person:

Purchase

* Does the Purchase contact differ from the requestor?

No Yes

Administrator account?:
Yes

Gender:

* Initials(s):

Language:

* Last name:

* Function:

* Work phone number:

Additional phone number:

* Email:


Contactperson:

Financial administration:

* Does the Financial contact differ from the requestor?

No Yes

Administrator account?:
Yes

Gender:

* Initial(s):

Language:

* Last name:

* Function:

* Work phone number:

Additional phone number:

* Email:


General Documents and Terms

Add the statutes of your trade register.:

* Do you have intentions to sell or provide products to government agencies or government owned companies outside the European Union?

No Yes

* Are you going to sell the products you purchase through Ingram Micro to customers abroad?

No Yes

* Are these countries outside the EU, and are there D-concerned or D-listed countries?

No Yes

Because you sell to people abroad you have to fill out a additional form

Please download the file and re-upload it to continue

Click here to download the additional file

Upload the file

* Select the countries you sell to:

Commercial data

* What is your core business?

OEM/Assembler (Building computers is your core business.)
E-tailer. (Selling IT-related products by the internet is your core business.)
Retailer. (Selling IT-related products to consumers and small and medium enterprises through a store is your core business.)
Sub-distributor (Het verkopen van IT-gerelateerde producten is uw kernactiviteit. U verkoopt hierbij niet aan eindgebruikers en u heeft geen contracten met A-vendoren.)
VAR/Dealer. (Creating solutions in the business to business segment is your core activity.)
Corp Reseller/Dealer. (Selling IT-related products to large enterprises is your core business.)
System integrator (Providing project management and consultation through a combination of professional services and expertise in hardware, software and communication is your core business.)
Bussiness Partners (Any reseller type not fitting any of above channels.)

Communication on the general data protection regulation (AVG).

The collected data is only used to process your application. If you choose to provide us with personal information, you agree to transfer and save this information to our U.S. servers and other Ingram Micro facilities worldwide

I agree to the terms and conditions of Ingram Micro bvba/sprl (NL/FR)