CHEMSERVICE | Request company account

Request company account

In case that you don't have an account in the Chemservice KKDIK-OR-Trustee system yet, you may send a corresponding request to the system administrator by filling out at least all mandatory fields below and clicking on "Submit request". You will receive an email notification from the system administrator once your account has been created.

Company information

Company name*

Additional name, division, etc.

Info

If required, optional addition to company name, such as "Fine Chemicals Department", "a subdivision of Mishmash Chemicals Corp.", etc.

Street address*

Info

Please fill in the complete street address information (incl. street number, block number, etc.) according to your regional formatting.

Apartment, suite, unit, bldg., floor, etc.

Info

Optional addition to the street address.

Postal code, city, region, state, etc.*

Info

Please fill in the complete city information (incl. postal/ZIP code, region, state, etc.) according to your regional formatting.

Country*

VAT ID

Preview full address

Company contact

Title*

First name*

Last name*

Department

Phone*

Email*

Remarks

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