Request for an account

Benefits

View special prices for your lab
Faster online ordering
Access to order history

We will use the information you provide to link your web account to the customer number of your organization.
This may take up to 24 hours (on working days). You will get an email once your account had been activated.

Notice: We are a distributor exclusively for the Benelux. If you want to order from another country, please contact us first. You can reach us via customerservice@westburg.eu or phone at +31(0)33 494 6666.

Your contact information

Work email

Gender

Mr.

Ms.

First name

Last name

Phone

Shipping address

Organization

Department

Building, Room, ...

Address

Postal code

City

Country

Billing address (only to be filled if your billing address is different to the shipping address)

Organization

Department

Building, Room, ...

Address

Postal code

City

Country

VAT number

Comments

I'd like to receive products updates and special offers by email (1-3 times per month)

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