Händlerregistrierung/Retailer Registration

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Händlerregistrierung/Retailer Registration

Welcome to the Retailer Registration Form for our shop!

Retailers can register to gain access to our exclusive offers. Please fill out the form below to complete the registration. Please note that it may take a few days for your request to be processed. You will be informed via email once the request is accepted. The form can be customized with the fields listed below.

_{Upon successful verification, a new "Retailer" category will appear on the homepage at your next login.}

We look forward to welcoming you as part of our community!

Salutation

First name*

Last name*

Company

Department

VAT Reg.No.

Email address*

Email address confirmation*

Password* Passwords must have a minimum length of 8 characters.

Password confirmation*

Your address

Street address*

Postal code

City*

Additional address line 1

Additional address line 2

Country*

Phone number

Shipping and billing address do not match.

Alternative shipping address

Salutation

First name*

Last name*

Company

Department

Street address*

Postal code

City*

Additional address line 1

Additional address line 2

Country*

Phone number

Privacy

By selecting continue you confirm that you have read our data protection information and accepted our general terms and conditions. *

Fields marked with asterisks (*) are required.