Please enter the name of your business

Please enter the name of the contact person within your business

Please enter your position within your business

Please enter the email adress of your business

Please enter the telephone number of your business

Please enter the FAX number of your business


Please enter the address of your business

Please enter the city in which your business is located

Please enter the zip code of your business

Please enter the country in which your business is located


Please enter the business registration number of your business

Please enter the value added tax ID number(EU) of your business


Please enter your business's turnover of UPS or battery products

Please enter your estimated turnover for GENEREX products

Please enter the credit institute of your business

Please enter the account number of your business

Please enter the location of the bank of your business


If you qualify, you will be able to place orders with a 30 days payment date.
Non-qualifying applicants must pre-pay by bank transfer or credit card before delivery.