Please complete this registration form, and click on the button 'Continue registration' to proceed.

Personal data

First name *

Last name *

Email *

Phone

Fax

Mobile

Company *

Function

Address *

Zipcode *

City *

Country *

Company registration * S-Risk version following the Flemish/Brussels or Walloon regulatory context: 2904,00 EUR (incl. 21% VAT) The creation of S-Risk account(s) shall only be done after VITO has received the signed S-Risk user agreement (Dutch version).
Please download the S-Risk user agreement (Dutch version) and return it signed to 'VITO, tav. Secretariat MRG, Industriezone Vlasmeer 7, 2400 Mol' or to info@s-risk.be.

Accounts (*)

Add account for Flemish/Brussels region
Add account for Walloon region

To use S-Risk for a certain region, one has to ask for at least one regional account.
Although regionally bound, this account is not bound to one user and can be shared within your company amongst multiple users.
To allow multiple simultaneous users of S-Risk, one has to ask for more than one regional account.

Questions/Remarks

Payment

Invoice data

To carry out the invoice correctly, you must fill in the VAT number of your company.
The account fee(s) mentioned above are indicative as it is (they are) depending on the real activation date of your ordered account(s). Please wait with your payment until you receive from us your invoice containing the actual cost price(s) of your ordered account(s).

VAT * Private person
Company outside EU
EU Company, VAT number

Invoice-data

Name/Company *

(attn.)

Address *

ZIP code *

City *

Country *

Bank data

IBAN

BIC

Registration