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INTERMEDIARY DETAILS
Intermediary Name*
Country*
Address
Telephone
Email
Website
Logo (.jpg or .png format, at least 800x800px, and less than 1mb in size)
INTERMEDIARY INFORMATION
Type of Activity* AgentBrokerScoutSport ManagementOther
Description* (at least one paragraph presenting your history and successes)
Affiliated with national federation* AffiliatedNot AffiliatedApplied forRenewing
Affiliation Nr.
Intermediary listing in TransferMarkt
Intermediary listing in WyScout
SOCIAL MEDIA
Facebook Page/Account
Instagram Account
LinkedIn Page/Account
Twitter Account
YouTube Account
KEY STAFF This section is optional. You do not have to provide staff names or photos if you do not want to. Photos need to be in .jpg or .png format, at least 400px wide, and less than 1mb in size.
Person 1 Name
Person 1 Title
Person 1 Photo
Person 2 Name
Person 2 Title
Person 2 Photo
Person 3 Name
Person 3 Title
Person 3 Photo
Person 4 Name
Person 4 Title
Person 4 Photo
Person 5 Name
Person 5 Title
Person 5 Photo
OTHER PHOTOS AND VIDEOS Add here any photos and links to videos you would like to show on your intermediary page.
Photos need to be in .jpg, or .png format, at least 1200px wide, and less than 1mb in size.
Photo 1
Photo 2
Photo 3
Photo 4
Photo 5
Please enter the link to any videos you have posted on YouTube etc (we do not host them directly).
Video 1
Video 2
Video 3
Video 4
Video 5
MISSING ANYTHING? If there is anything missing in the form that you want to include, please write it here.
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