Service reserved for companies, not private.

1) Registered Office Information

Address  *
City  *

2) Information on production / storage facility

Address  *
City  *

3) Product Information and Activities

4) US Agent information

American address

5) Authorizations

The undersigned authorizes the application to register, update and cancel the US Food and Drug Administration on behalf of this facility. I agree to a possible verification of the registration data and, as required by US law, to a possible inspection of the structure subject to registration by the US FDA. Authorize disclosure of property registration information to authorized U.S. customs agents and importers to facilitate entry of products into the U.S. I declare that I have read, understood and accepted terms and conditions.