New customer registration

Dear Sir or Madam,

Thank you for your interest. We would like to welcome you as a new customer.
To ensure your registration as a new GSK customer,
we need some information from you:

  • This form
  • Copy of the business registration

Please send or fax these documents to:
Großhandel-Schnellversand Koch
Schadowstraße 60/62
40212 Düsseldorf
Fax: 0211 / 17 88 01 10
E-mail: service@gskkoch.de

After receipt and examination of the complete documents, a customer number will be set up for you, which will be communicated to you with the access data for the shop.

*Mandatory fields
Date of birth