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<!DOCTYPE html><html lang="en-US" class="touch"><head> <script> window.applicationStartTime = Date.now(); </script> <link rel="stylesheet" href="https://solarshop.baywa-re.lu/sca-dev-2023-2-0/extensions/shopping_3.css?t=1710779447643"> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no"> <link rel="shortcut icon" href="https://solarshop.baywa-re.lu/sca-dev-2023-2-0//img/favicon.ico"> <title>Registration Form</title> <meta name="description" content=""><link rel="canonical" href="https://solarshop.baywa-re.lu/register-form"><meta name="keywords"><script type="application/ld+json" data-generated="seo">[{"@context":"https://schema.org","@type":"WebPage","breadcrumb":{"@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","name":"Home","position":1,"item":"https://solarshop.baywa-re.lu/"},{"@type":"ListItem","name":"Registration Form","position":2,"item":"https://solarshop.baywa-re.lu/contact-us"}]}}]</script></head> <body class=" seo-support"> <noscript> <div class="shopping-layout-no-javascript-msg"> <strong>Javascript is disabled on your browser.</strong><br> To view this site, you must enable JavaScript or upgrade to a JavaScript-capable browser. </div> </noscript> <div id="main" class="main" style="display: block;"><div><div id="layout" class="shopping-layout"><header id="site-header" class="shopping-layout-header" data-view="Header" aria-label="Header"><div><div id="baywacontact"><div id="baywacontact-icon"><i class="baywacontact-icon-icon" data-action="toggleContact"></i><i class="baywacontact-icon-icon__close" data-action="toggleContact"></i></div><div class="baywacontact-details"><div class="generaladdress baywacontact-details-address"><h3>BayWa r.e. Solar Systems S.à r.l.</h3><p> 15, Op der Haart<br> LU - 9999 Wemperhardt<br><i class="baywacontact-icon-phone" aria-hidden="true"></i><a href="tel://+352 27 80 28 00">+352 27 80 28 00</a><br><i class="baywacontact-icon-email" aria-hidden="true"></i><a href="mailto:solarsystems@baywa-re.lu">solarsystems@baywa-re.lu</a></p></div></div></div> </div><div><div class="header-message" data-view="Message.Placeholder"> <div class="cookie-warning-banner-view alert" role="alert"><div> For this website, only the core functions are available on mobile devices. To enjoy the full experience, please visit us on a large screen. </div><button class="cookie-warning-banner-view-close-button" data-action="close-message" type="button" data-dismiss="alert">×</button></div> </div><div class="header-main-wrapper "><nav class="header-main-nav"><div class="container-fluid"><div id="banner-header-top" class="content-banner banner-header-top" data-cms-area="header_banner_top" data-cms-area-filters="global"></div><div class="header-sidebar-toggle-wrapper"><button class="header-sidebar-toggle" data-action="header-sidebar-show"><i class="header-sidebar-toggle-icon"></i></button></div><div class="header-bar row"><div class="col-md-4 col-sm-12 logo-breadcrumbs"><div data-view="Header.Logo" class="logo-wrapper"> <a class="header-logo" href="/" data-touchpoint="home" data-hashtag="#" title="BeNeLux Webstore - SCA"><noscript><img class="header-logo-img" 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data-hashtag="#/products/manufacturer/huawei" data-touchpoint="home" data-action="close-flyout">Huawei </a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/hyundai" data-hashtag="#/products/manufacturer/hyundai" data-touchpoint="home" data-action="close-flyout">Hyundai</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/ja-solar" data-hashtag="#/products/manufacturer/ja-solar" data-touchpoint="home" data-action="close-flyout">Ja Solar</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/jinko" data-hashtag="#/products/manufacturer/jinko" data-touchpoint="home" data-action="close-flyout">Jinko Solar</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/kostal" data-hashtag="#/products/manufacturer/kostal" data-touchpoint="home" data-action="close-flyout">Kostal</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/lg-chem" data-hashtag="#/products/manufacturer/lg-chem" data-touchpoint="home" data-action="close-flyout">LG Energy Solutions</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/longi-solar" data-hashtag="#/products/manufacturer/longi-solar" data-touchpoint="home" data-action="close-flyout">Longi Solar</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/novoeco" data-hashtag="#/products/manufacturer/novoeco" data-touchpoint="home" data-action="close-flyout">novoeco</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/novotegra" data-hashtag="#/products/manufacturer/novotegra" data-touchpoint="home" data-action="close-flyout">novotegra</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/pylontech" data-hashtag="#/products/manufacturer/pylontech" data-touchpoint="home" data-action="close-flyout">Pylontech</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/sma" data-hashtag="#/products/manufacturer/sma" data-touchpoint="home" data-action="close-flyout">SMA</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/solaredge" data-hashtag="#/products/manufacturer/solaredge" data-touchpoint="home" data-action="close-flyout">SolarEdge</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/solitek" data-hashtag="#/products/manufacturer/solitek" data-touchpoint="home" data-action="close-flyout">SoliTek</a></li><li><a class="header-menu-level3-anchor" href="/products/manufacturer/trina-solar" data-hashtag="#/products/manufacturer/trina-solar" data-touchpoint="home" data-action="close-flyout">Trina Solar</a></li></ul></li><li><a class="header-menu-level2-anchor" href="/products/promotions" data-hashtag="#/products/promotions" data-touchpoint="home" data-action="close-flyout">Promotions</a></li></ul></div><div class="tabs-panel hidden" role="tabpanel" id="tabservices"><ul><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/services/seminars-webinars/" id="rangeofseminars" data-action="close-flyout">Seminars & Webinars</a></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/services/free-engineering-tool/solar-planit/" id="freetool" data-touchpoint="home" data-action="close-flyout">Free engineering tool Solar Planit</a></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/services/for-installers/" id="installers" data-touchpoint="home" data-action="close-flyout">For installers</a><ul><li><a class="header-menu-level3-anchor" href="https://www.novotegra.com/en/system-planning/initial-mounting-support" id="" data-touchpoint="home" data-action="close-flyout">Initial Installation Support</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/for-installers/engineering-consultation/" id="" data-touchpoint="home" data-action="close-flyout">Engineering & Consultation</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/for-installers/pv-insurance/" id="" data-action="close-flyout">PV Insurance</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/for-installers/reliable-logistics/" id="" data-touchpoint="home" data-action="close-flyout">Reliable Logistics</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/for-installers/manufacturers-contact-support" id="" data-touchpoint="home" data-action="close-flyout">Manufacturers' Contact Support</a></li></ul></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/services/emobility" id="emobility" data-touchpoint="home" data-action="close-flyout">eMobility</a><ul><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/emobility/our-charging-stations-with-novoeco" id="" data-touchpoint="home" data-action="close-flyout">Our charging stations with novoeco</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/services/emobility/our-charging-stations-without-the-novoeco-backend" id="" data-touchpoint="home" data-action="close-flyout">Our charging stations without the novoeco backend</a></li></ul></li></ul></div><div class="tabs-panel hidden" role="tabpanel" id="tababoutus"><ul><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/your-solar-partner/" id="solarpartner" data-touchpoint="home" data-action="close-flyout">Your solar partner</a><ul><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/your-solar-partner/expertise/" id="" data-touchpoint="home" data-action="close-flyout">Expertise</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/your-solar-partner/locations-contact/" id="" data-touchpoint="home" data-action="close-flyout">Locations & contact</a></li><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/your-solar-partner/sustainability" id="" data-touchpoint="home" data-action="close-flyout">Sustainability</a></li></ul></li><li><a class="header-menu-level2-anchor" href="https://www.novotegra.com/en/" id="inhouse" data-touchpoint="home" data-action="close-flyout">In-house Installation System</a><ul><li><a class="header-menu-level3-anchor" href="https://www.novotegra.com/en/" id="" data-touchpoint="home" data-action="close-flyout">About novotegra</a></li><li><a class="header-menu-level3-anchor" href="https://www.novotegra.com/en/mounting-systems/all-mounting-systems" id="" data-touchpoint="home" data-action="close-flyout">Product Overview</a></li><li><a class="header-menu-level3-anchor" href="https://www.novotegra.com/en/downloads" id="" data-touchpoint="home" data-action="close-flyout">Download Area</a></li><li><a class="header-menu-level3-anchor" href="https://www.novotegra.com/en/system-planning/system-configuration" id="" data-touchpoint="home" data-action="close-flyout">Designing with Solar Planit</a></li></ul></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/news/" id="" data-touchpoint="home" data-action="close-flyout">News</a></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/events/" id="" data-touchpoint="home" data-action="close-flyout">Events</a></li><li><a class="header-menu-level2-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/careers/" id="careers" data-touchpoint="home" data-action="close-flyout">Careers</a><ul><li><a class="header-menu-level3-anchor" href="https://solar-distribution.baywa-re.lu/en/about-us/careers/working-at-baywa-re/" id="" data-touchpoint="home" data-action="close-flyout">Working at BayWa r.e.</a></li><li><a class="header-menu-level3-anchor" href="https://jobs.baywa-re.com/eng" id="" data-touchpoint="home" data-action="close-flyout">Current vacancies</a></li></ul></li></ul></div><div class="tabs-panel hidden" role="tabpanel" id="tabcurrentpromotions"></div></div></div></div></nav></div> </div></div></div></div><div id="banner-header-bottom" class="content-banner banner-header-bottom" data-cms-area="header_banner_bottom" data-cms-area-filters="global"></div></nav></div><div class="header-sidebar-overlay" data-action="header-sidebar-hide"></div> </div></header><div id="main-container"><div class="shopping-layout-breadcrumb"><div data-view="Global.Breadcrumb" data-type="breadcrumb"><div id="banner-breadcrumb-top" class="content-banner banner-breadcrumb-top" data-cms-area="breadcrumb_top" data-cms-area-filters="global"></div><ul class="global-views-breadcrumb" itemprop="breadcrumb"><li class="global-views-breadcrumb-item-active"> Registration Form </li></ul><div id="banner-breadcrumb-bottom" class="content-banner banner-breadcrumb-bottom" data-cms-area="breadcrumb_bottom" data-cms-area-filters="global"></div> </div></div><div class="shopping-layout-notifications"><div data-view="Notifications"><div><div id="bwTimeOutModal" class="modal" tabindex="-1" role="dialog"><div class="modal-dialog" role="document"><div class="modal-content"><div class="modal-header"><h3 class="modal-title">Session Expiration Notice</h3></div><div class="modal-body"><br><p id="bw-logout-text"> To protect your security, we log you out of your<br>BayWa r.e. account <b>after 20 minutes of inactivity</b><br><br></p><div id="bw-countdown"> Logout in <span id="bw-seconds">30 secs</span><br></div></div><div class="modal-footer"><button type="button" class="button-primary" id="bwRefreshSession"> Stay Logged In </button>     <button type="button" class="button-secondary" id="bwModalLogout">Logout</button></div></div></div></div></div><div><div class="notifications"><div data-view="Order.Notifications"><div class="notifications-order"><div data-view="Promocode.Notifications"></div><div data-view="FreeGift.Notifications"></div><div data-view="OutOfStockItems.Notifications"> </div></div> </div><div data-view="Profile.Notifications"><div class="notifications-profile"><div data-view="ProfileChanges.Notifications"></div></div> </div></div> </div></div></div><div id="content" class="shopping-layout-content" tabindex="-1"><div class="contact-us"> <div class="register-form"><header class="contact-us-header"><h1 class="register-form__title">Registration Form</h1><div id="contact-us-header-cms" class="contact-us-header-cms" data-cms-area="contact-us-header-cms" data-cms-area-filters="path"></div></header><div><div class="register-form__introduction"><div class=""><h2>Welcome to our Solarshop!</h2><br>Please notice that we only accept customers with a valid VAT number from Belgium, Luxembourg and the Netherlands. If your company is based in another country, please check our <a href="https://www.baywa-re.com/en/" target="_blank">Corporate Website</a> for the contact details of our respective sister company. After having submitted your registration, you will be contacted within the next couple of days. A customer account will then be created and you will receive an email that contains an activation link for your webshop account.<br><br>Please choose one of the following options </div><div class="register-form__introduction__options"><input type="radio" name="register-form-question" id="register-form-question-option-1" value="customer" data-action="showOption"><label for="register-form-question-option-1" class="register-form__introduction__option-label"> I am already a customer and need a Webshop login </label><input type="radio" name="register-form-question" id="register-form-question-option-2" value="no-customer" data-action="showOption"><label for="register-form-question-option-2" class="register-form__introduction__option-label"> I want to become a customer </label></div></div> </div><div class="register-form__form"><div class="js-register-form-customer register-form__option register-form__box"> If you are already a customer at BayWa r.e. Solar Systems S.à r.l., please do not fill in this registration form, but contact your Sales representative or send an email to <a href="mailto:lusy.webstore@baywa-re.lu" target="_blank">lusy.webstore@baywa-re.lu</a> to receive a login for the Webshop. </div><form action="#" class="js-register-form-no-customer register-form__option contact-us-form" novalidate=""><div class="register-form__sections"><div class="register-form__section-item"> Please fill in the fields below to register for an account as a corporate customer (B2B). Once your registration is completed, we will check your details and get back to you by email. When your account is successfully activated, you can place an order in our Webshop at any time. Please, bear in mind that this Webshop is addressed exclusively to professional users and companies with a valid VAT number from Belgium, Luxembourg and the Netherlands. <strong>No private user will be accepted</strong>. </div><div class="register-form__section-item"><h3 class="register-form__section-item__title">Contact Information</h3><div class="register-form__fields"><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="firstname"> First Name <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="firstname" id="firstname" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="lastname"> Last Name <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="lastname" id="lastname" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="email"> Email <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="email" data-action="removeWhiteSpace" name="email" id="email" value="" maxlength="80"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="custentity_gender"> Gender <small class="register-form__required">*</small></label><div data-validation="control" class=""><div class="register-form__field-radio"><input type="radio" name="custentity_gender" id="custentity_gender-1" data-id="custentity_gender" value="1"><label for="custentity_gender-1"> Female </label><input type="radio" name="custentity_gender" id="custentity_gender-2" data-id="custentity_gender" value="2"><label for="custentity_gender-2"> Male </label><input type="radio" name="custentity_gender" id="custentity_gender-3" data-id="custentity_gender" value="3"><label for="custentity_gender-3"> Other </label></div></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="phone_phone"> Phone <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="tel" data-action="phoneChangeEvent" name="phone_phone" id="phone_phone" class="js-register-form-contact-phone" maxlength="50"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="phone_mobilephone"> Mobile Phone </label><div data-validation="control" class=""><input type="tel" data-action="phoneChangeEvent" name="phone_mobilephone" id="phone_mobilephone" class="js-register-form-contact-phone" maxlength="50"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="title"> Job Title </label><div data-validation="control" class=""><input type="text" name="title" id="title" value="" maxlength="200"></div></div></div></div><div class="register-form__section-item"><h3 class="register-form__section-item__title">Company Information</h3><div class="register-form__fields"><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="companyname"> Company Name <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="companyname" id="companyname" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="url"> Website </label><div data-validation="control" class=""><input type="text" name="url" id="url" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="vatregnumber"> VAT Registration Nr <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="vatregnumber" id="vatregnumber" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="accountnumber"> KVK <i class="register-form__icon-info" data-toggle="tooltip" data-placement="right" title="" data-original-title="Only for Dutch customers"></i></label><div data-validation="control" class=""><input type="text" name="accountnumber" id="accountnumber" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="phone_company_phone"> Phone </label><div data-validation="control" class=""><input type="tel" data-action="phoneChangeEvent" name="phone_company_phone" id="phone_company_phone" class="js-register-form-company-phone" maxlength="50"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="company_email"> General Email <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="email" data-action="removeWhiteSpace" name="company_email" id="company_email" value="" maxlength="80"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="custentity_invoicecc"> Invoice Email <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="email" data-action="removeWhiteSpace" name="custentity_invoicecc" id="custentity_invoicecc" value="" maxlength="80"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="custentity_trackingemail1"> Tracking Email <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="email" data-action="removeWhiteSpace" name="custentity_trackingemail1" id="custentity_trackingemail1" value="" maxlength="80"></div></div><div data-validation="control-group" class="register-form__field full-row"><label class="contact-us-form-label" for="language"> Preferred Language </label><div data-validation="control" class=""><div class="register-form__field-radio"><input type="radio" name="language" id="language-en" data-id="language" value="en"><label for="language-en"> English </label><input type="radio" name="language" id="language-fr_FR" data-id="language" value="fr_FR"><label for="language-fr_FR"> French </label><input type="radio" name="language" id="language-de_DE" data-id="language" value="de_DE"><label for="language-de_DE"> German </label><input type="radio" name="language" id="language-nl_NL" data-id="language" value="nl_NL"><label for="language-nl_NL"> Dutch </label></div></div></div><div data-validation="control-group" class="register-form__field full-row"><label class="contact-us-form-label" for="comments"> Comment </label><div data-validation="control" class=""><textarea name="comments" id="comments" rows="6" class="contact-us-form-textarea"></textarea></div></div></div></div><div class="register-form__section-item"><h3 class="register-form__section-item__title">Company Address</h3><div class="register-form__fields"><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="address1"> Street <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="address1" id="address1" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="address2"> Number <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="address2" id="address2" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="city"> City <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="city" id="city" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="zipcode"> Postal Code <small class="register-form__required">*</small></label><div data-validation="control" class=""><input type="text" name="zipcode" id="zipcode" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field full-row"><label class="contact-us-form-label" for="country"> Country <small class="register-form__required">*</small><i class="register-form__icon-info" data-toggle="tooltip" data-placement="right" title="" data-original-title="We only accept customers with a valid VAT number from Belgium, Luxembourg or the Netherlands."></i></label><div data-validation="control" class=""><div class="register-form__field-radio"><input type="radio" name="country" id="country-BE" data-id="country" value="BE"><label for="country-BE"> Belgium </label><input type="radio" name="country" id="country-LU" data-id="country" value="LU"><label for="country-LU"> Luxembourg </label><input type="radio" name="country" id="country-NL" data-id="country" value="NL"><label for="country-NL"> Netherlands </label></div></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="phone_address_phone"> Phone </label><div data-validation="control" class=""><input type="tel" data-action="phoneChangeEvent" name="phone_address_phone" id="phone_address_phone" class="js-register-form-address-phone" maxlength="50"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="custrecord_default_shipping_instructions"> Opening Hours </label><div data-validation="control" class=""><input type="text" name="custrecord_default_shipping_instructions" id="custrecord_default_shipping_instructions" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="company_delivery_options"> Delivery Options </label><div data-validation="control" class="register-form__field-checkbox delivery-options"><input type="checkbox" data-action="select-extra-liftgate" name="address-liftgate" id="address-liftgate" value="T" data-unchecked-value="F"><label for="address-liftgate"><div><span>Liftgate required (+35,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if a truck with liftgate and pallet truck is required to unload the goods."></i></div></label><input type="checkbox" data-action="select-extra-forklift" name="address-forklift" id="address-forklift" value="T" data-unchecked-value="F"><label for="address-forklift"><div><span>Truck mounted forklift required (+75,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if a truck with forklift is required to unload the truck."></i></div></label><input type="checkbox" data-action="select-extra-smalltruck" name="address-smalltruck" id="address-smalltruck" value="T" data-unchecked-value="F"><label for="address-smalltruck"><div><span>Small truck (19t) required (+50,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if the delivery address cannot be reached with a normal 13,6m trailer and needs to be carried out by a smaller 19 tons truck."></i></div></label></div></div></div></div><div class="register-form__section-item"><h3 class="register-form__section-item__title">Delivery Address</h3><div class="register-form__field-checkbox"><input type="checkbox" name="register-form-delivery-address" id="register-form-delivery-address" value="T" data-action="showDeliveryAddress"><label for="register-form-delivery-address" class="contact-us-form-label"> Do you have a different delivery address ? </label></div><div class="register-form__fields js-register-form-delivery register-form__fields__delivery-address"><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="delivery_name"> Company Name </label><div data-validation="control" class=""><input type="text" name="delivery_name" id="delivery_name" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="delivery_attention"> Contact </label><div data-validation="control" class=""><input type="text" name="delivery_attention" id="delivery_attention" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" 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value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field full-row"><label class="contact-us-form-label" for="delivery_country"> Country <i class="register-form__icon-info" data-toggle="tooltip" data-placement="right" title="" data-original-title="We only accept customers with a valid VAT number from Belgium, Luxembourg or the Netherlands."></i></label><div data-validation="control" class=""><div class="register-form__field-radio"><input type="radio" name="delivery_country" id="delivery_country-BE" data-id="delivery_country" value="BE"><label for="delivery_country-BE"> Belgium </label><input type="radio" name="delivery_country" id="delivery_country-LU" data-id="delivery_country" value="LU"><label for="delivery_country-LU"> Luxembourg </label><input type="radio" name="delivery_country" id="delivery_country-NL" data-id="delivery_country" value="NL"><label for="delivery_country-NL"> Netherlands </label></div></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="phone_delivery_phone"> Extra Phone </label><div data-validation="control" class=""><input type="tel" data-action="phoneChangeEvent" name="phone_delivery_phone" id="phone_delivery_phone" class="js-register-form-delivery-phone" maxlength="50"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="delivery_custrecord_default_shipping_instructions"> Opening Hours </label><div data-validation="control" class=""><input type="text" name="delivery_custrecord_default_shipping_instructions" id="delivery_custrecord_default_shipping_instructions" value="" maxlength="200"></div></div><div data-validation="control-group" class="register-form__field"><label class="contact-us-form-label" for="delivery_options"> Delivery Options </label><div data-validation="control" class="register-form__field-checkbox delivery-options"><input type="checkbox" data-action="select-extra-liftgate" name="delivery-liftgate" id="delivery-liftgate" value="T" data-unchecked-value="F"><label for="delivery-liftgate"><div><span>Liftgate required (+35,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if a truck with liftgate and pallet truck is required to unload the goods."></i></div></label><input type="checkbox" data-action="select-extra-forklift" name="delivery-forklift" id="delivery-forklift" value="T" data-unchecked-value="F"><label for="delivery-forklift"><div><span>Truck mounted forklift required (+75,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if a truck with forklift is required to unload the truck."></i></div></label><input type="checkbox" data-action="select-extra-smalltruck" name="delivery-smalltruck" id="delivery-smalltruck" value="T" data-unchecked-value="F"><label for="delivery-smalltruck"><div><span>Small truck (19t) required (+50,00€)</span><i class="register-form__icon-info" data-toggle="tooltip" title="" data-original-title="Select if the delivery address cannot be reached with a normal 13,6m trailer and needs to be carried out by a smaller 19 tons truck."></i></div></label></div></div></div></div><div class="register-form__section-item"><h3 class="register-form__section-item__title">Marketing</h3><div class="register-form__fields"><div data-validation="control-group" class="register-form__field full-row"><label class="contact-us-form-label" for="custentity_subscriptionstatus"> Would you like to receive newsletters about upcoming promotions, price information and training and fair invitations ? 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