Please select your partnership type. *

Whistleblower

Real estate agent

IHK Registration Number (Section 34d of the German Trade Regulation Act) *

Competent Chamber of Industry and Commerce *

AVAD number (optional)

Thomas number (optional)

Commercial Register (optional)

VAT ID (optional)

Do you have a vehicle registration certificate? (optional)

Yes

The information above is complete and accurate. *

The permit required under § 34d of the Trade Regulation Act has been issued and is valid. *

We have financial loss liability insurance with the legally required minimum coverage. *

The AVAD reporting requirements are met. *

First name *

Last name *

Phone *

Email *

Function

Account holder *

IBAN *

BIC (optional)

Financial institution *

Any changes to the above information must be reported to FAKTOR MENSCH immediately. *

I accept the Privacy Policy and consent to my data being transmitted in encrypted form and processed for the purpose of handling my inquiry. *

Additional notes

Broker & Referral Form