IKA Registration

 
Why register?
 
With this registration, we offer you the possibility of receiving special pricing and discounts. The information you provide is confidential and for IKA® internal use only! After completing your registration your data will be reviewed by an IKA® representitive and you will recieve shortly your terms and conditions along with your account activation confirmation.
NOTE: This registration is only for countries listed in the below country select box. If you are from a country not listed below, we would like to apologize and hope to have it enabled soon.


1. Company address
Company *
Title
Last Name *
First Name *
Department
Address 1 *
Address 2
City  *
State / Provence  
ZIP  *
Country *
Phone  *
Fax
E-Mail *
VAT No (Only EU-countries)
Password *

Fields marked with * are mandatory

 
 
2. Billing address
   ( Same as Company address)
Company *
Last Name *
First Name *
Address 1 *
Address 2
City  *
State / Provence  
ZIP  *
Country *
Phone
Fax
E-Mail

Fields marked with * are mandatory

 
 
3. Shipping address
   ( Same as Billing address)
Company *
Last Name *
First Name *
Address 1 *
Address 2
City  *
State / Provence  
ZIP  *
Country *
Phone
Fax
E-Mail

Fields marked with * are mandatory