Customer registration

Please fill in the form below. Fields marked with a star are mandatory fields.
Please now send your business registration via e-mail to or fax it to +49 (0)9131 / 9405 8099.
After we processed your registration you will receive an email stating that your access has been activated. Then you can log into our onlineshop using the UNICOL customer number you received from us and your self choosen Password.
Firstname: *
Lastname: *
Company: *
Street: *
ZIP: *
City: *
Country: *
Phone: *
E-Mail: *
Web *
Repeat password: