VWR 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

Company Name

Address Line 1

Address Line 2

Address Line 3

Street & House Number

Postal Code

City

Phone Number

Email Address

Please provide business email address.

Company Website

Company Registration Number

VAT Registration Number

Email Address for Invoices

Email Address for Monthly Statements

State Account Type

Account Type

Credit/Prepayment Account

Cardholder First Name

Cardholder Last Name

Cardholder Email

Cardholder Phone Number

Credit limit required

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

Bank Account Number

Bank Sort Code

Card Type

Company Credit Card

Company Procurement Card

General Company Information

Is your company part of a corporation/consortium?

Yes

Parent company/consortium name

Industry

Types of Products to be Purchased

Chemicals

Life-Sciences

Chromatography

Consumables

Microbiology

Environment

Instrumentation

Safety / Cleanroom

Filtration

Other

Service

Estimated Annual Spend

General Contact Person

First Name

Last Name

Department

Function

Phone Number

Email address

will be used for your webshop account

I would like to receive VWR e-newsletter

Yes

I would like an account to purchase online at VWR.com using the above credentials

Yes

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

Invoicing Address

New address

Use general address

Company Name

Department

Address

Postal Code

City

Phone Number

Email Address for Invoices

Email Address for Monthly Statements

Company Registration Number

VAT Registration Number

Delivery Address

New address

Use general address

Use invoice address

*we do not deliver to private addresses / residential areas

Company Name

Department

Street

Postal Code

City

Phone Number

Email address

Additional Delivery Address 1 Hide

New address

Use general address

Use invoice address

*we do not deliver to private addresses / residential areas

Company Name

Department

Street

Postal Code

City

Phone Number

Email address

Additional Delivery Address 2 Hide

New address

Use general address

Use invoice address

*we do not deliver to private addresses / residential areas

Company Name

Department

Street

Postal Code

City

Phone Number

Email address

Additional Delivery Address 3 Hide

New address

Use general address

Use invoice address

*we do not deliver to private addresses / residential areas

Company Name

Department

Street

Postal Code

City

Phone Number

Email address

Additional Delivery Address 4 Hide

New address

Use general address

Use invoice address

*we do not deliver to private addresses / residential areas

Company Name

Department

Street

Postal Code

City

Phone Number

Email address

Reseller for products purchased from VWR

Do you resell our products?

Yes

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

Download FCPA Document

FCPA Document

Do you intend to export our products?

Yes

Please specify your export countries

Does your company have suitable laboratory space to store and use chemicals?

Yes

Additional information

What does your company do?

Do you purchase through any of the following distribution partners (NELS, R&L, McQuilkin)? If so, please mention below the distribution partner.

Document Upload

Document Uploads for Supporting Documents 1

*.pdf, .doc or .jpg

Document Uploads for Supporting Documents 2

Document Uploads for Supporting Documents 3

Confirmation

Yes, I would like to enhance my shopping experience through the use of my personal shopping data Privacy Policy

Yes

I have read and accept VWR's General Terms and Conditions & Privacy policy

Yes

I confirm that the information given in this form is accurate

Yes

New Customer Onboarding

Request a Double Opt-In confirmation

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