registration form

I herewith declare that I will use e-merch only in my function as supplier/trader/agency/service provider or end consumer. I will use e-merch for commercial purposes only. Upon request I will proof my status by providing a trade certificate or a copy of the commercial register.
With the signing of this order form I accept the general terms and conditions of e-merch.

 

Link zu AGB's/link to policy

helpPlease click here if you are a manufacturer
 Yes No helpplease state whether you are a PSI memebr
helpplease state you correct company name
helpplease state any further comppany names
helpplease state your full address
helpState the street name
helpplease state the country where yor business is
helpPlease state your area code
helpPlease state the city where your company is
helpstate your telephone number
helpstate your fax number
helpplease state your valid website address
helpplease state yor valid email adress
help
helpplease state you VAT identification number
helpstate your academic title
helpyour surname
helpstate your first name
helpplease state the mail adress of the person to be contacted
helpplease state the phone number of the contact person
helpplease state you mobile phone number
helpChoose your modules according to the price lists
 Yes No helpPlease accept the policy terms
helpplease enter sum of those numbers