BASF PlasticsPortal - Registration

Please return all pages by e-mail only to one of the following addresses (depending on your product focus):

Engineering Plastics (Capron®, Ultradur®, Ultraform®, Ultramid®, Ultrason®):

Polyamide Extrusion and Spinning Polymers and Polyamide Intermediates:

A – Company

Company Information / (*) All fields with asterisk are required
Legal Company Name* / Customer Account Number
(filled by BASF)
Parent Company*
Address*
Postal Code, City *
Country*
Telephone* (main switchboard number) / Fax*
Company Website
Primary Contact / (Responsible for overall relationship with BASF, usually Purchasing Manager)
First name* / Last name*
Telephone* / Fax
Position / e-mail*
Bill To Details
Preferred mode of payment,
please indicate (X) / Bank transfer / Direct debit / If “direct debit”, we will send you the respective form
Date / Name (printed) / Position
Signature

B – Users

(please use additional copies if you have more users)
BASF PlasticsPortal Users / (*) All fields with asterisk are required
Company name
(according to sheet A) *
First name* / Last name*
Salutation* (Mr, Mrs) / Title / Department*
Telephone* / Fax*
Mobile / e-mail*
Desired User-ID / Preferred communication*
(e-mail, tel., fax)
Please rank the languages according to your preference:
1 = first preference (preferred language), 5 = last preference / German / English / Spanish / French / Italian
If working for several companies, please indicate names (for all companies, a separate Sheet A – Company needs to be filled)
Please complete the following authorization levels: (X)
Right to view prices* / Right to place orders* / Right to change/cancel orders*
Right to view invoice history* / Right to view order status* / Right to file complaint*
BASF PlasticsPortal Users / (*) All fields with asterisk are required
Company name
(according to sheet A) *
First name* / Last name*
Salutation* (Mr, Mrs) / Title / Department*
Telephone* / Fax*
Mobile / e-mail*
Desired User-ID / Preferred communication*
(e-mail, tel., fax)
Please rank the languages according to your preference:
1 = first preference (preferred language), 5 = last preference / German / English / Spanish / French / Italian
If working for several companies, please indicate names (for all companies, a separate Sheet A – Company needs to be filled)
Please complete the following authorization levels: (X)
Right to view prices* / Right to place orders* / Right to change/cancel orders*
Right to view invoice history* / Right to view order status* / Right to file complaint*
Date / Name (printed) / Position
Signature

1

Relating to privacy policy, please refer to our User Agreement