Form for the New Customers info
-Comapany -Private
VAT No.:
Company Name: *
Access to the Wholesale Prices: I am a company from the industry and I ask for access to wholesale pricing
(wholesale customer status will be assigned by the administrator after verification of the company)
Street & Number: *
City: *
Postal code: *
Country: *
E-mail: *
Contact Phone No.: *
I order information about new products once a quarter:

The data necessary for next logins (Remember!)
Login: *
Password: *
Password (enter again to verify): *
Type the code shown in the picture:
* - Required fields