New customer registration

1. Please fill out the form below and send it off.

2. Your application will be checked by our sales employees.

3. We will contact you as soon as possible.

Additional contact persons: After pressing „Send“ you will have the opportunity to register additional coworkers.

You will find our information for the fulfillment of the statutory information obligation under Articles 13, 14 and 21 of the General Data Protection Regulation (GDPR) here: https://www.siewert-kau.de/en/distribution/privacy

Companies *

Company *

Street & Number *

Zip code & City *

Salutation *

Contact partner *

Department *

Position *

Phone *

E-Mail *

Website

VAT no. *

Would you like to register for our online shop?

Yes

Would you like to register for our academy?

Yes

Would you like to be informed about prices?

Yes, via E-Mail

Would you like to get invoices via E-Mail?

Yes

E-Mail adress for invoices

Commercial register extract/ business license sent by *

Post

Fax

File upload

Please note that we can not process your application without your commercial registration certificate or business license.

Note: The uploaded file must not be larger than 5 MB, and must be saved in JPEG, GIF, PNG, TIFF, PDF or DOC.

Accept Terms and Conditions *

Monday to Friday 9.00 a.m. to 6.00 p.m.

Central:	+49 (0) 2271 763 0
Order hotline:	+49 (0) 2271 763 100

Fax:	+49 (0) 2271 763 280
E-mail:	info@siewert-kau.de
RMA:	hotline@siewert-kau.de

New customer registration

General contact