New Customer Registration

How to register

1

Download both qualification documents, complete and return the documents to info@evidentic.com.

2

Complete the form below,
and click "Register".

3

Customer account activation,
see "Footnote 1".

Download

First Name *

Last Name *

Username *

User Email *

User Password *

Confirm Password

How did you find us? *

Industry *

Footnote 1: Return the completed qualification documents to info@evidentic.com *I understand that my user profile can only be activated if I have submitted the fully completed qualification documents to info@evidentic.com. Completing the online registration form alone does not allow users to purchase products online or offline.

Privacy Policy *I agree that my data will be stored to the required extent and processed for the purpose of contacting me. Note: You can revoke your consent for the future at any time by sending an e-mail to info@evidentic.com. Detailed information on the handling of user data can be found in our privacy policy.

No private households - Research and commercial use only *Our products are intended exclusively for institutional research purposes and are not for human use. The sale of drug aliquots to private individuals and households is not possible. Evidentic carries out identification and qualification for each buyer. For a speedy first-time client qualification process, please complete the qualification documents and return them blue-inked as PDFs to info@evidentic.com.