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How can we help you? *

Pure Model * Select name of your product

ATTENTION: FOR SERVICE, REPAIR, WARRANTY OR ANY OTHER TECHNICAL RELATED QUESTION, PLEASE REACH OUT TO THE NEW OFFICIAL SERVICE PARTNER:

>>> service-emea@premiumaudiocompany.com <<<

This ticket form shall just be used by online store customers with a valid order number to ask any order processing related question

Adress

ZIP code

City

Organisation Please tell us if you are part of a purchase group or similar, if not leave empty.

Membership Number If you are part of a purchase group or similar please let us know your membership number.

Payment type The first order must always be paid in advance. After that, you can switch to purchase with invoice.

eMail for invoice Please specify the eMail you want invoices to be sent to.

eMail for delivery note Please specify the eMail you want delivery notes to be sent to.

Contact person * Please tell us the name of your contact person at Aqipa.

Mobile Phone * Please enter your phone number f.e. +43660.....

Terms & Conditions Please read our T&Cs carefully and confirm to proceed with your registration.

Terms & Conditions / AGBs

Data Protection Please read through carefully and agree to proceed with the sign up.

Date protection / Datenschutz

Date received When did you receive the unit for inspection in your location?

IRIS Code Please tell us the IRIS code.

If you need help finding the correct IRIS code, use this selection guide:

IRIS SELECTOR

Used Spare Part Please specify the Spare Part used.

Repair Fee Please select the fee you would want to charge us in accordance with our agreement.

Transportation Fee Please select the fee you would want to charge us in accordance with our agreement.

Repair Processing Consent We require you to read and confirm as well as upon request provide proof of proper handling of this repair claim in accordance with the Repair Claim Terms & Conditions.

Terms & Conditions

Collection address

Repair Reference Number Please specify your reference number indicating this case.

Modell Code/Name Please tell us the model code or name.

Aqipa product code If available please specify the Aqipa product code. This helps us speeding up the process.

Serial Number Please specify the serial number on the product.

Spare Part Available Please let us know if you should not find an appropriate spare part to be available.

Aqipa Spare Part Code If available please specify the Aqipa spare part code. This helps us speeding up the process.

Jobs * Please specify the job you want to apply for

Curriculum Vitae * Please upload your CV here.

Other Uploads Please upload any additional information you might want to add to your application e.g. recommendation letters, motivational message, certificates, theses, portfolio, references ...

Potential starting date Please specify the when you would potentially be available to start with us.

Salary requirement Please specify the salary you are requiring.

€

For bulk listings, please download the latest template here, fill it out and reupload.

Product Listing Template v1.0

Upload Product Listings Please upload here the correctly filled product listings file.

Singel materials setup Should you not prefer to use the bulk product upload process above or just have some single materials to list, activate the single materials setup by checking the following box.

Manufacturer AID Please specify the manufacturer article identificator.

Base Color Please select the base color of your product.

Marketing Color Please specify the your marketing color name.

Product serialized Is the product carrying a serial no.?

Purchase Price What is the purchasing price?

€

Suggested Retail Price What is the manufacturer suggested retail price?

€

Product Images Please upload product images.

Dealer Name *

Dealer Address (Street)

Dealer Address (ZIP/City)

Dealer Reference *

Brand *

EAN

Purchase Receipt Please upload a proof of purchase stating the purchase date.

Customer Wish

Complaint topic *

Aqipa Company * Please select the appropriate Aqipa organisation you are purchasing from.

Contact Reason *

Sales country

Foundation date When was your company founded?

Current active Countries *

Current Distribution Partner

What type of services are you looking for in your next brand accellerator / distribution partner?

Countries you need support/help/distribution? *

Topic

Company Owner

Funktion Please specify your role within your organisation.

Phone number

Industry *

Product Types *

Yearly turnover *

Amazon Vendor Account *

Current brand assortment *

Covid-19 Test Termine * Bitte Termine auswählen an welchen Du gerne einen Test durchführen lassen willst. Mittwochs immer ca. gegen 09:00 Uhr, Freitags immer ca. gegen 08:30 Uhr.

Order number * Please enter your order number which starts with 0000

Purchase Date Please specify the date of purchase as stated on the receipt. Only purchase dates not older 2 years are valid.

B2C Contact Reason *

Company name *

Company Website Please tell us your company websites URL.

VAT number * Please state your VAT number.

Brand Name Please specify the products brand name.

Categories of interest Tell us which product categories you are most interested in.

Main business Please specify your main business

Online Store URL Please specify the URLs you are using for sales.

Language *

Model name *

Serial number

Serial number * Seriennummer Pflichtfeld

Country

Name *

Email *

Subject *

Message *

Add attachment

Reason for request