Technology Centre
Application Form

As the world leader in the manufacture of combustion management devices we are constantly looking to develop our distribution networks worldwide. It is very important to us to ensure that our distributors have the correct technical capabilities in place to support our products correctly. Technology Centres have skilled personnel specially trained by Autoflame to offer high quality customer service and technical support. Should you feel that your company is a suitable candidate to become an Autoflame Technology Centre, please fill out the form below. After submission, you will be contacted to discuss in further detail the possibility of being awarded Technology Centre status.

Application Form

Please read through the form and then complete the boxes below. When you are ready to send the information press the submit button at the bottom of the page.

Company Details

Company Name:

Company Address:

Website:

Contact Name:

Telephone:

Fax:

Email:

Number of staff (overall):

Number of technically trained staff:

Annual turnover:

Commercial Setting

Brief description of work undertaken:

Major Customers:

References:

When was the company established:

Combustion Products Range

Do you have experience of Autoflame equipment:
 Yes     No

If yes, please tick the relevant modules:
Mk6 Evolution MM, Mk6 MM, Mini Mk6 MM
Mini Mk5 MM, Mini MM
Mk5 MM
Mk4 MM
E.G.A. Exhaust Gas Analysers
D.T.I. Data Transfer Interface

List experience with other combustion equipment manufacturers,
stating current or past:

Proposed Arrangements

Principle regions of business:

Proposed exclusive area:

Other Details

How did you hear about Autoflame products?

Any other relevant information?

Thank you.

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