New customers

Dear Customer,

We need the information below to create an account for you in our system. Please fill out the form and return it by hit the submit button.

Thanks in advance.

Company Name *

Address *

Zip Code *

City *

Country *

Company phone number *

Email for invoices *

Email for Order Confirmations *

VAT Number *

If delivery address is different from Company Address:

If delivery address is different from company address

Address

Zip Code

City

Country

Contact Person

Name *

Title *

Direct Phone *

Direct Email *

Message

Consent for storing submitted data

BJ-Gear's General Terms of Sales and Delivery

I consent to BJ-Gear's General Terms of Sales and Delivery

Formulas for calculations