NEW PARTNER INQUIRY

*** Please confirm you are fully authorized to submit this information on behalf of your organization before proceeding. ***
Partner Submitter Information
Partner Organization Information
Partner Business Information
(i) the answers provided in this Inquiry Form are true, accurate, and complete;
(ii) any untrue, inaccurate, or incomplete answer constitutes just cause for the immediate termination of my organization's participation in MyCena® Partner programm;
(iii) submitting this questionnaire electronically is equivalent to applying my signature to a legally binding document;
(iv) I am fully authorized to submit this information and to bind the organization identified above;
(v) I will promptly notify MyCena® of any material changes to the answers provided in this Inquiry Form;
(vi) I have read MyCena® Anti-Corruption Policy , and certify my organization will fully comply with that policy; and
(vii) MyCena® programm is the data controller of the information provided herein and will use the information for the legitimate business interest of determining a potential business partner’s credit-worthiness, qualifications, and suitability to provide goods or services to MyCena®, on behalf of MyCena®, or in connection with MyCena’s® products. This information, including personal information, will be used in deciding whether to do business with the organization identified above, in accordance with MyCena’s® Privacy Policy at https://www.mycena.co/privacy-policy/ , and I hereby authorize such use.
MyCena®
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