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New customer questionnaire
We ask you to fill in this form, the data is needed to create
an IT-System customer account for your company.

 

Full company address

company:*
street:*
street number:*
postal code:*
city:*
country:*
 

Full delivery address

company:*
street:*
street number:*
postal code:*
city:*
country:*
 

Invoice address

company:*
street:*
street number:*
postal code:*
city:*
country:*
 
VAT number
(if applicable)*:
Customs Tariff Number (Non-EU)
(if applicable)*:
Tax Number (Germany)
(if applicable)*:
 
Preferred currency
 

Contact person/contact datas

salutation:
first name:*
last name:*
fon:
e-mail:*
   

Your freight forwarder/account number

name:
account number:
   
 
   
* mandatory field