Request an Account

New Account Request

If you are located in the US or Canada and would like to establish a purchasing account with Cerilliant for your company/organization, complete the request form below. If you are located in a country other than US or Canada, please visit Cerilliant International Sales to determine the options for your country. If your company/organization already has an account established with Cerilliant and you need a login for that account, then visit Request Login.

Important: Due to the products being sold, Cerilliant is only able to sell to legitimate and verifiable businesses, universities and public agencies.

Full Name

* Please enter a full name

Title/Position

* Please enter your Title or Position

Email address

* Please provide a valid email address.

Telephone

* Please enter a telephone number

Company Name

* Please enter a company name

Attention

* Please enter a Attention

Street Address 1

* Please enter an address

Street Address 2

City

* Please enter a city

State/Province

* Please enter a state/province or for addresses where not applicable, enter 'N/A'

ZIP/Postal Code

* Please enter a zip/postal code or for addresses where not applicable, enter 'N/A'

Country

* Please select a country

Company Name

* Please enter a company name

Attention

* Please enter a attention

Street Address 1

* Please enter an address

Street Address 2

City

* Please enter a city

State/Province

* Please enter a state/province or for addresses where not applicable, enter 'N/A'

ZIP/Postal Code

* Please enter a zip/postal code or for addresses where not applicable, enter 'N/A'

Country

* Please select a country

How long has your company/organization been in existence?

* Please select the years your company/organization been in existence

Approximate Number of Employees?

* Please select the number of Employees

Which best describes your business?

* Please describe your business

Will any of your purchases be exempt from US State Taxes?

DEA Registration

US DEA Registrations are NOT REQUIRED to purchase most Cerilliant products – most Cerilliant products have DEA Exemptions in the US. However, if you do have a DEA Registration, please provide the registration number for our records.

Does your company have a DEA Registration?

* Please select a DEA license option

If Yes, then DEA Registration Number

1. Do you sell products to, test products for, participate in or provide services to, or anticipate selling products to, testing products for, participating in and/or providing services to, the cannabis or hemp industries?

Yes

* Please select an item

2. If your answer to Question #1 is “Yes”, do you either: a. Grow, manufacture, process, test or produce cannabis or hemp products?

Yes

b. Act as a distributor or re-seller of products that are manufactured or produced by another company to participants (i.e., growers, manufacturers, processors, producers, etc.) in the cannabis or hemp industries?

Yes

Depending on your answer to Question #2, you will be asked to provide additional information, in the form of a supplementary questionnaire, about your activities in the cannabis or hemp industries as well as to make additional representations regarding such activities.

* PRODUCT COMPLIANCE

In the space below, describe how your company will use our products. Depending on the clarity of your response, we may need to ask for additional information.

* Please describe how your company will use our products.

Communications & Subscriptions

Receive electronic COAs and SDS for Cerilliant items purchased by your company

Credit Terms Request

If you would like to be considered for billing terms other than credit card, then please complete the following:

Accounts Payable Contact: Name

Accounts Payable Contact: Title/Position

Accounts Payable Contact: Email

Accounts Payable Contact: Telephone

D&B DUNS Number, if known

Sigma-Aldrich or MilliporeSigma account number, if known

Invoice Delivery: Email address for your organization’s invoices

Is the company affiliated with part of another company or organization? If so, please provide the details:

Additional Information or Comments

I agree that Merck KGaA, Darmstadt, Germany and its affiliates can use my data for direct marketing, including but not limited to email, phone and text to inform me about products, services and other offers in relation to life science products.

You can withdraw your consent anytime by clicking the unsubscribe link contained in every email or by sending an email to privacy@merckgroup.com. Detailed information is available in our Privacy Statement

Privacy email link must be a key to use brand defense. In the US/Canada and Puerto Rico the email address is: custcare-rrk@milliporesigma.com

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If you have questions or need further assistance, contact our Customer Service Team

Request an Account

New Account Request

Contact Information * Required Field

Company Billing Address

Company Shipping Address

Company Information

Activity in the Cannabis or Hemp Industries