Customer Application Form

Click on the form in your preferred language This will open the application form
Fill in the application form Print it and sign it
Send us the signed form by e-mail or WhatsApp
To become a customer of Van VLIET, you’ll need to fill in our Customer Application form. This form also tells you what else you will need to become a customer.

For your convenience, we offer the Customer Application form in multiple languages. On this page you can find a list with the languages currently available.

You may either fill in the application online by pressing the "Fill in application online" button, or you may choose to fill in a application form in pdf by selecting it from the list of files on this page.

You can send the signed form by Mail or WhatsApp:

Fill in Application online