Become a dealer

Are you the owner of a specialty store, pharmacy, or suitable online shop and want to offer D/A products to your customers? After submission, your registration will be reviewed – this process can take up to 48 hours. Once approved, you will automatically gain access to permanent discounted prices when logged into your account on d-a.works.

Salutation

Title

First name*

Last name*

Company*

Department

VAT Reg.No.

Email address*

Password* Passwords must have a minimum length of 8 characters.

Your address

Street address*

Postal code

City*

Additional address line 1

Country*

Phone number

Shipping and billing address do not match.

Alternative shipping address

Account type*