Register for a trade account | Capax group

Customer / Supplier Registration Form

This form is intended for our B2B trade partners.
Please fill out the form below and we'll be in touch as soon as possible.

General information

Company Name *

Address *

Streetnumber *

Postal Code *

City *

State or Province *

Country *

Company registration

VAT Number

Chamber of Commerce number

Warehouse address

Company name

Is the Delivery / Pick-up Address the same as the initial address at the top of this form?

Delivery / Pick-up Address

Streetnumber

Postal Code

City

State or Province

Country

Contact Person

Contact Person

Last name

E-Mail Address

Phone number

Financial information

Name account holder

IBAN

BIC

Name of Financial contact person

Last name

Invoice Address

Is the Invoice Address the same as the initial address at the top of this form?

Contact Person

Last name

Address

Streetnumber

Postal Code

City

State or Province

Country