Manufacturer registration

Manufacturer registration

Please fill in the following form carefully to register as a manufacturer with PCB-Broker.
The registration process for manufacturers takes place with PCB-Broker in two stages.
After filling in the following form please down load, sign and return the contracts to PCB-Broker. When we receive these documents we will activate your manufacturer account. When this is done, you will be able to create offers in response to requests for quotation.

Invoice information


Company
Mr/Mrs/Ms *
Qualification
First name *
Surname *
Address *
Zip code / City *
Country *
Telephone (without country code) *
Fax (without country code)
Mobile phone (without country code)
E-mail address *
Home page
TAX No.
Int. VAT No.

Manufacturing profile

Area for items of interest

from
to

Number of layers
(choice of several permitted)

Gold

Area of the request for quotation

Send information by
(choice of several permitted)

Certification


Certificates (choice of several permitted)	Please send a copy of your certificate to us by facsimily under +49 (0)6120 9070-14 or by post! Should the name of your certificate not be listed, please send an e-mail with the name and a short description to info@pcb-broker.de.

Banking information


Main branch of bank
Name of bank *
Account holder *
Bank sorting code number *
Account number *

To be filled in by the account holding branch outside Germany


National bank code
S.W.I.F.T. Code
Address of bank

Manufacturer account information


Please enter your own password below. Make a note of this password in order to gain access to the entire manufacturer area in the future. If you think you will forget your password, enter a mnemonic here to help you to remember it.
Password *
Confirmation of password *
Mnemonic *
Language