Registration
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
AT
BE
BG
CY
CZ
DE
DK
EE
EL
ES
FI
FR
GB
HU
IE
IT
LT
LU
LV
MT
NL
PL
PT
RO
SE
SI
SK
Invoice-data
Name/Company *
(
attn.
)
Address *
ZIP code *
City *
Country *
Bank data
IBAN
BIC
Creditcard
Card type
--Select--
Visa
EuroCard
MasterCard
Card number *
Expiration date *
Verification code *
Verification code? (pop-up)
I wish to receive an invoice:(*)
No
Yes
VAT
Private person
Company outside EU
EU Company, VAT number
AT
BE
BG
CY
CZ
DE
DK
EE
EL
ES
FI
FR
GB
HU
IE
IT
LT
LU
LV
MT
NL
PL
PT
RO
SE
SI
SK
Invoice-data
Name/Company
(
attn.
)
Address
ZIP code
City
Country
Confirmation will not be sent.
Bank data
IBAN
BIC