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Registration

Customer Application Form

Please fill in as complete as possible. That way we will have your account set-up in no time.

General Company Information

Company Name *

VAT Number *

Chamber of Commerce Registration Number (SIREN for France / Steuer No. for Germany)

Your Website

Owner's Name

First Name

Last Name

Contact Information

Mobile Phone Number *

Mobile Number for WhatsApp (if different than mobile)

E-mail for Orders *

E-mail to be used for Unidex webshop

E-mail address for invoices

What is your preferred language? *

Business Type

What kind of business do you have?

Shop/Supermarket

Wholesale

Other

Product Types

What food- or product types do you sell?

Dry/Ambient Goods

Frozen

Fresh Fruits and Vegetables

Non-Food

Other

Delivery and Logistics

Contact Person for Deliveries

First Name

Last Name

Telephone Number for Deliveries *

E-mail for Deliveries *

Do you have a different address for deliveries? If so please write here:

Street and Number

City

Postcode

Country

Opening Hours for Deliveries

Please note your opening and closing time (for example 08:00-17:00). Note that we can only deliver on weekdays, not in the weekend.

Day	Open for Deliveries From	Closed for Deliveries At
Monday
Tuesday
Wednesday
Thursday
Friday

Delivery Logistics

Can we reach you by trailer? *

Yes

No, only small truck will fit

Is there a transpallet available? *

Yes

No, the driver needs to bring one

Does our truck need to have a taillift? *

Yes

No, we have a forklift/dock

Is there any additional info for deliveries?

Almost Ready

Do you have specific information or instructions you wish to share?

By submitting this form you declare that you have read and accepted the sales and delivery terms and conditions. You can find these conditions on our website by clicking here

Account Information

First Name *

Last Name *

Email address *

Password *

Confirm Password *

International Shipment

Orders are shipped seamlessly between countries

Online Support 24/7

Our customer support team is available around the clock to assist you with any questions or concerns

Money Return

We offer a hassle-free money-back guarantee if you are not satisfied with your purchase

Member Discount

Join our membership program and enjoy exclusive discounts and special offers