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INTOS ELECTRONIC AG - Siemensstraße 11 - D-35394 Gießen - +49 (0)641 / 9726-0

New customer registration
Please fill in the following form and send us your trading licence / extract from the commercial register by email to bestellung@intos.de or by fax to +49 (0)641 / 9726-111
Your personal data

We ask you to answer the following questions to ensure we may provide yuo with suitable service. Your specifications are for internal use only and will help us to know you and your company well, right from the beginning.

Please answer as precisely as possible so we may prove ourselves a high-performing partner. As soon as we receive your complete information we shall activate your account and send you login information.

Thank you very much in advance for your cooperation,

Your team of INTOS ELECTRONIC AG


Your business is *: (make your choice)
You operate: (multiple choice)
What kind of customer do you have? (multiple choice)
How did you find us?
What do you expect from INTOS? (important notes first)
In case of changing your supplier, what is/are the reason(s)?
How many employees work for your company?
What can we do for you right now?
Security query

In "Code", please enter the code represented in the picture.
Fields marked with * are mandatory.