Create new customer account

All fields marked with * are mandatory.

Name

Title - optional

First name

Last name

Company - optional

Billing address

Street name

Street number

Address 2 - optional

Country

Postal code

City

Contact data

E-Mail

Mobile phone - optional

Date of birth - optional

Consent to disclosure required.

I agree that my e-mail address or telephone number may be passed on to Bartonini (BRT S.p.A., Piazza Diaz 7 - 20123 Milan / Italy) so that the parcel service provider can contact me by e-mail or telephone prior to delivery of the goods in order to coordinate a delivery date or to provide status information on the delivery. I can revoke my consent to this at any time.

The newsletter can be cancelled at any time.

I would like to receive the free newsletter from Beate Uhse Italy. - optional

Password

Password (re-enter)