Register - LenioBio Shop

Skip to content

My Account

0

ALiCE® Shop
Request A Quote
LenioBio.com

0

- Account Holder Details
  Your account and order will be pending until approved. Please enter the Username, Password and other details you want associated with this account.
- Username* May contain only alphanumeric characters (letters and numbers), spaces and/or certain special characters, namely underscores, hyphens, periods, and @ symbols. No other special characters are allowed.
- First Name*
- Last Name*
- Password* Hint: Include numbers, capitals, special characters (@, #, *, etc.) Minimum length of 8 characters.
  The password must have a minimum strength of StrongStrength indicator
- Confirm Password*
- Account Holder E-mail*
- Account Holder Phone Number* Please include Country Code
- Company/Organization Details
- Company Name*
- Is your Company / Organization located in an EU country?*
  - Yes
  - No
- Is your Company / Organization located in Germany?
  - Yes
  - No
- VAT ID No. (EU only)*
- Address*
- Address 2
- Town / City*
- State / County / Region*
- Zip / Postal Code*
- Country*
- Preferred Currency
  - EUR
  - USD
- Billing Details
- First Name (Billing)
- Last Name (Billing)
- Email (Billing)*
- Phone (Billing) Please include Country Code
- - Billing Address
  - Address*
  - Town / City*
  - State / County
  - Postcode / Zip*
  - Country*
  - Ship to a different address?
- Shipping Details
- Attention To (Shipping)*
- Email (Shipping)
- Phone (Shipping) Please include Country Code
- - Shipping Address
  - First Name
  - Last Name
  - Company Name
  - Address
  - Town / City
  - State / County
  - Postcode / Zip
  - Country
- Other Details
- Special Instructions
- Confirmation*
  - I hereby confirm that the above information is correct and complete.
- I allow the website to collect and store the data I submit through this form.*
- Read Privacy Policy.
- Terms & Conditions*
- Read Terms and Conditions.
- Marketing Emails
  - Yes! Sign me up!
- By checking this box, I agree that I want to receive occasional information and updates about products, services and webinars from LenioBio GmbH. My data will only be used as described in the Read Privacy Policy I understand that I can withdraw my consent at any time.