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 *

Please select 2 options.

I accept the Terms of Use. I confirm that I am acting on behalf of my company and/or as an authorized representative.

I have read and understood the Privacy Notice.

Welcome to myPERI customer portal

Customer data:

Address:

Customer administrator:

Consent *