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Credit Application Form

To become a customer of Van VLIET, you’ll need to fill in our Credit Application form. This form also tells you what else you will need to become a customer.


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


Are you missing a language? Send us an e-mail at info@jvanvliet.com


You can send the signed form by Mail, Fax or WhatsApp:


E-mail: info@jvanvliet.com
Fax: +31 (0) 174 637 699
WhatsApp: +31 6 57 46 30 16

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