New Customer Onboarding

Dear Customer,
Thank you very much for your interest in our products. 
In order to process your request, we require some additional information on your company. 
Please be informed that we sell chemicals only to customers who have appropriate laboratory premises to both use and store chemicals.

General Data: Name Legal Entity

Please provide business email address.

State Account Type

If a credit limit is approved, Unless otherwise agreed in writing, payment is strictly payable 30 days from date of invoice.

General Company Information

General contact person

*will be used for your webshop account
*If no General Contact is maintained, Company Email Address will be used for Account Creation

Invoicing Address

Delivery Address

*we do not deliver to private addresses / residential areas

Reseller for products purchased from VWR

Resellers are required to complete a FCPA questionnaire.
Customer number can be created only when this agreement have been uploaded/received.

Additional information

Document Upload

*.pdf, .doc or .jpg

Confirmation


Request a Double Opt-In confirmation