Welcome to the NIVUS Partner Registration!

We are excited to have you in our NIVUS-Family! To communicate efficiently we would like kindly ask you to fill out your contact information below.

This information will take place in our internal CRM system and will be used for further communications.

General information

Company name *

Website URL *

Logo upload (jpg / png, min. 500px) *

Main contact person

Salutation

Full name *

Position / Title *

Email address *

Phone number *

Additional contact - Marketing Contact Person

Salutation

Full name

Position / Title

Email address

Phone number

Additional contact - Sales Contact Person

Salutation

Full name

Position / Title

Email address

Phone number

Additional contact - Logistic Contact Person

Salutation

Full name

Position / Title

Email address

Phone number

Additional contact - Accounting Contact Person

Salutation

Full name

Position / Title

Email address

Phone number

* Mandatory fields