AirPlus customer referral form

Through this form you can refer potential customers to Diners Club Spain.

Relevant information:

You are in Diners Club Spain, this form is valid only for companies based in Spain or Europe.
For other territories please consult Diners Club International.

*The fields marked with an asterisk in this form are necessary to provide you with the required information.

Prospective customer

Clientes potenciales (sales lead)

AirPlus Information
Contact name*
Company*
Email*
Phone
Address*
Address City Region ZIP Country
Potential customer information
Company name*
NIF / CIF
Company Address*
Address City Region ZIP Country
Contact name*
Position within the company*
Email*
Phone*
Estimated annual revenue in euros
Payment needs
Agency name (in case of working with travel agency)
Would you like to be contacted before contacting the customer?
- Yes
- No
Before submitting the application you must read the Basic Data Protection Information. By submitting this form you acknowledge that you have read our privacy policy.
Phone
Este campo es un campo de validación y debe quedar sin cambios.

AirPlus customer referral form

Prospective customer

Clientes potenciales (sales lead)

AirPlus Information

Potential customer information

Corporativo

Particulares

Clientes

Diners Club

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