Registration Form

Customer data:

Company name

Customer number(s)

Address:

Street and house number

Postcode

City

Customer administrator:

An administrator can activate and authorise additional users for the myPERI portal.
The Customer designates the following person as an administrator within the meaning of the Terms of Use for the myPERI online portal:

Title

First name

Surname

Email

Phone number

Consent *

I confirm the following:

I have read and understood the Privacy Notice and accept the Terms of Use. I affirm that I am acting on behalf of my company or organization as an authorized representative.

Welcome to myPERI customer portal

Customer data:

Address:

Customer administrator:

Consent *