customer account

first name
last name
password
password confirmation
e-mail
phone
street
number
city
ZIP
allergens 1 Cereals containing gluten
2 Crustaceans
3 Eggs
4 Fish
5 Peanuts
6 Soybeans
7 Milk
8 Nuts
9 Celery
10 Mustard
11 Sesame seeds
12 Sulphur dioxide and sulphite
13 Lupin
14 Molluscs