Client Registration Form

Client Registration

Personal Information

Email Address *

Please provide a valid email address.

Salutation *

Please select a salutation.

First Name *

Please provide your first name.

Last Name *

Please provide your last name.

Phone Number *

Please provide your phone number.

Company Proof

Trade Register

Accepted formats: PDF, JPG, PNG. Maximum file size: 10 MB

Please upload a valid file (PDF, JPG, or PNG) with maximum size of 10 MB.

KBIS FR

Accepted formats: PDF, JPG, PNG. Maximum file size: 10 MB

Please upload a valid file (PDF, JPG, or PNG) with maximum size of 10 MB.

BCE/KBO BE

Accepted formats: PDF, JPG, PNG. Maximum file size: 10 MB

Please upload a valid file (PDF, JPG, or PNG) with maximum size of 10 MB.

Tax Information

Country *

Please select your country.

VAT Number *

VAT number is required for non-German countries.

Please provide a valid VAT number.

Billing Address

Billing Address Line 1

Billing Address Line 2

Billing City

Billing State

Billing Zip

Billing Country

Shipping Address

Same as Billing Address

Shipping Address Line 1

Shipping Address Line 2

Shipping City

Shipping State

Shipping Zip

Shipping Country

Business Information

Closing Days

Hold Ctrl (or Cmd on Mac) to select multiple days

How did you hear about us? *

Please select how you heard about us.

Optional Personal Data

Job Title

Birthdate

Website/Social Media

e.g., https://www.linkedin.com/in/yourprofile or https://yourwebsite.com

Message/Requirements

Legal & Privacy

I accept the Terms & Conditions for wholesale services *

You must accept the terms and conditions to proceed.

I have read and understood the Privacy Notice

Privacy Notice

We collect and process your personal data in accordance with our privacy policy. Your information will be used to:

Process your wholesale registration
Create and manage your account
Provide customer support and services
Send relevant business communications

You have the right to access, rectify, or delete your personal data. For more information, please read our Privacy Policy.