VWR Customer Onboarding

Identification

Customer Number

Customer Name

ZIP Code of Customer

Name of Change Requestor

Email of Change Requestor

Company Details

No change

Change

Old company name 1

New company name 1

Old company name 2

New company name 2

Old company name 3

New company name 3

Old company name 4

New company name 4

Old street & house number

New street & house number

Old postal code

New postal code

Old city

New city

Old phone number

New phone number

Old fax number

New fax number

Old eMail Address

New eMail Address

Old company website

New company website

Old postbox

New postbox

Old postcode mailbox

New postcode mailbox

Old Organisation ID

New Organisation ID

Old VAT #

New VAT #

Old Electronic invoice

New Electronic invoice

Old EAN #

New EAN #

Preferred invoicing

No change

Change

Old Preferred invoicing

Electronic invoice

Invoice by email

Old E-Invoice address

Old E-Invoice Operator ID

Old eMail address for invoices

New Preferred invoicing

Electronic invoice

Invoice by email

New E-Invoice address

New E-Invoice Operator ID

New eMail address for invoices

Old eMail address for accounts payable

New eMail address for accounts payable

General contact person

Add

Remove

Change

Add new first name

Add new last name

Add new department

Add new function

Add new phone number

Add new eMail address

I would like an account to purchase online at VWR.com using the above credentials

Yes

No

Remove first name

Remove last name

Remove department

Remove function

Remove phone number

Remove eMail address

Old first name

New first name

Old last name

New last name

Old department

New department

Old function

New function

Old phone number

New phone number

Old eMail address

New eMail address

I would like an account to purchase online at VWR.com using the above credentials

Yes

No

Delivery Contact

Add

Remove

Change

Add new delivery contact first name

Add new delivery contact last name

Add new delivery contact department

Add new delivery contact function

Add new delivery contact phone number

Add new delivery contact eMail address

Remove delivery contact first name

Remove delivery contact last name

Remove delivery contact department

Remove delivery contact function

Remove delivery contact phone number

Remove delivery contact eMail address

Old delivery contact first name

New delivery contact first name

Old delivery contact last name

New delivery contact last name

Old delivery contact department

New delivery contact department

Old delivery contact function

New delivery contact function

Old delivery contact phone number

New delivery contact phone number

Old delivery contact eMail address

New delivery contact eMail address

Contact person for Purchasing

Add

Remove

Change

Add new purchase contact first name

Add new purchase contact last name

Add new purchase contact department

Add new purchase contact function

Add new purchase contact phone number

Add new purchase contact eMail address

Remove purchase contact first name

Remove purchase contact last name

Remove purchase contact department

Remove purchase contact function

Remove purchase contact phone number

Remove purchase contact eMail address

Old purchase contact first name

New purchase contact first name

Old purchase contact last name

New purchase contact last name

Old purchase contact department

New purchase contact department

Old purchase contact function

New purchase contact function

Old purchase contact phone number

New purchase contact phone number

Old purchase contact eMail address

New purchase contact eMail address

Contact person for Finance

Add

Remove

Change

Add new finance contact first name

Add new finance contact last name

Add new finance contact department

Add new finance contact function

Add new finance contact phone number

Add new finance contact eMail address

Remove finance contact first name

Remove finance contact last name

Remove finance contact department

Remove finance contact function

Remove finance contact phone number

Remove finance contact eMail address

Old finance contact first name

New finance contact first name

Old finance contact last name

New finance contact last name

Old finance contact department

New finance contact department

Old finance contact function

New finance contact function

Old finance contact phone number

New finance contact phone number

Old finance contact eMail address

New finance contact eMail address

Invoicing Address

Add

Remove

Change

New invoice address company name

New invoice address department

New invoice address address

New invoice address postal code

New invoice address postbox

New invoice address city

New invoice address phone number

New invoice address fax number

New invoice address eMail address for invoices and bank statement

New invoice address eMail address for accounts payable

New invoice address organization ID

New invoice address VAT #

Remove invoice address company name

Remove invoice address department

Remove invoice address address

Remove invoice address postal code

Remove invoice address postbox

Remove invoice address city

Remove invoice address phone number

Remove invoice address fax number

Remove invoice address eMail address for invoices and bank statement

Remove invoice address eMail address for accounts payable

Remove invoice address organization ID

Remove invoice address VAT #

Old invoice address company name

New invoice address company name

Old invoice address department

New invoice address department

Old invoice address address

New invoice address address

Old invoice address postal code

New invoice address postal code

Old invoice address postbox

New invoice address postbox

Old invoice address city

New invoice address city

Old invoice address phone number

New invoice address phone number

Old invoice address fax number

New invoice address fax number

Old invoice address eMail address for invoices and bank statement

New invoice address eMail address for invoices and bank statement

Old invoice address eMail address for accounts payable

New invoice address eMail address for accounts payable

Old invoice address Organisation ID

New invoice address Organisation ID

Old invoice address VAT #

New invoice address VAT #

Delivery Address

Add

Remove

Change

New delivery address company name

New delivery address department

New delivery address address

New delivery address postal code

New delivery address city

New delivery address phone number

New delivery address eMail address

New delivery address organization ID

New delivery address VAT #

Remove delivery address company name

Remove delivery address department

Remove delivery address address

Remove delivery address postal code

Remove delivery address city

Remove delivery address phone number

Remove delivery address eMail address

Remove delivery address organization ID

Remove delivery address VAT #

Old delivery address company name

New delivery address company name

Old delivery address department

New delivery address department

Old delivery address address

New delivery address address

Old delivery address postal code

New delivery address postal code

Old delivery address city

New delivery address city

Old delivery address phone number

New delivery address phone number

Old delivery address eMail address

New delivery address eMail address

Old delivery address Organisation ID

New delivery address Organisation ID

Old delivery address VAT #

New delivery address VAT #

Document Upload

Document Uploads for Supporting Documents 1

Document Uploads for Supporting Documents 2

Document Uploads for Supporting Documents 3

Document Uploads for Supporting Documents 4

Document Uploads for Supporting Documents 5

Confirm Cust 1

Yes

No

Confirm Cust 2

Yes

No

Confirm Cust 3

Yes

No

Yes, I would like to enhance my shopping experience through the use of my personal shopping data Privacy Policy

Yes

No

I have read and accept VWR's General Terms and Conditions & Privacy policy

Yes

No

I confirm that the information given in this form is accurate

Yes

No

Change Request

Request a Double Opt-In confirmation

Submitting...