Distributor application form We are looking for partners world-wide to sell the Actibump system. If you are interested, please fill out the form and we will get back to you to schedule a meeting. Company name Contact persons name Contact persons email address Tell us more about your company: Within what customer segments are you currently active (parking, ITS, traffic safety, restricted area access, etc)? What types of contacts (what are their titles? Traffic planners, politicians, traffic engineers, maintenance, etc) do you already have within the traffic business? What makes you a good partner to us for the introduction of the Actibump system to your market? Where, geographically, are you currently active? What geographical area and customer segments would you like exclusivity on to introduce the Actibump system? Describe your (if any) experience in introducing new technology to a market: Do you know if any approval of the system is necessary in your geographical area?Do you know if any approval of the system is necessary in your geographical area?YesNo approval necessaryI don't know If so, what organisation/organisations are involved in the approval process? Describe how you would introduce the Actibump system on your market: What resources would you allocate to the project of introducing the Actibump system to your market? 2 + 6 = Become a distributor