Herrmann UK - HBDI v6 Access Key

	Herrmann International UK *Herrmann Certified Practitioner HBDI™ v6 Access Form*

In order to have access to the Web HBDI™ Management System v6, your account must be setup with the information you provide below. Please complete the form below then click on the button "Setup my account". We will send you by email all the details to access the system.

Last Name:

First Name:

E-mail:

Company Name:

Address**:

Billing address:

(if different)

** This address will be used to send the HBDI™ profiles

City:

Postcode:

City:

Postcode:

Country:

VAT Number:

Telephone:

Fax:

Do you intend to edit your participants HBDI™ profiles yourself?

Yes No

If yes, how many HBDI™ profiles do you plan to print yourself in the next few months (this information will help us define the quantity of empty HBDI™ packages we need to send you). Please precise the quantity per language.

English	French	German
Danish	Spanish	Greek
Dutch	Italian	Portuguish
Swedish

Comments, questions...:

Herrmann International UK

Personal data from this questionnaire will not be in any way given to other parties.

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