Whole Sale Credit agreement Details Contact Bank Details References Attachments Declarations Purchase Intent Loading... Business Details Trading Name * Please enter the trading name. Company Name * Please enter the company name. Company Registration Number * Please enter the registration number. VAT Number Please enter a valid VAT number. Business Website Please enter a valid URL. Email * Please enter a valid email. Phone * Please enter a valid phone number (10-15 digits). Business Type * Select Business Type Sole Trader Partnership PTY LTD Trust NGO Please select a business type. Physical Address * Please enter the physical address. Postal Address Please enter the postal address. Next Contact Person Full Name * Please enter the full name. Designation * Please enter the designation. ID Number * Please enter the ID number. Phone * Please enter a valid phone number (10-15 digits). Email * Please enter a valid email. ID Copy (PDF/Image) * Please upload an ID copy. Proof of Address (PDF/Image) * Please upload proof of address. Confirmation Letter (PDF/Image) * Please upload a confirmation letter. Previous Next Banking Details Bank Name * Please enter the bank name. Account Holder * Please enter the account holder's name. Account Number * Please enter the account number. Account Type * Select Account Type Cheque Savings Business Please select an account type. Branch * Please enter the branch name. Bank Confirmation Letter (PDF/Image) * Please upload a bank confirmation letter. Previous Next Trade References Reference 1 * Person * Please enter the person's name. Company * Please enter the company name. Phone * Please enter a valid phone number (10-15 digits). Email * Please enter a valid email. Reference 2 (Optional) Person Please enter the person's name. Company Please enter the company name. Phone Please enter a valid phone number (10-15 digits). Email Please enter a valid email. Previous Next Attachments Company Registration Document (PDF/Image) * Please upload the registration document. Director ID (PDF/Image) * Please upload the director's ID. Proof of Address (PDF/Image) * Please upload proof of address. Bank Letter (PDF/Image) * Please upload the bank letter. Previous Next Declarations I consent to the company performing credit and trade reference checks before account approval. * Please consent to the credit check. Signature * Please provide a signature. Date * Please select a date. Previous Next Purchase Intent Monthly Purchase (Units) * Select Option Below 50 50–100 100–500 500+ Please select an option. Monthly Spend * Select Option < R10,000 R10,000–R50,000 R50,000–R200,000 R200,000+ Please select an option. Order Quantity * Please enter the order quantity. Product Category Select Option Electronics Home Appliances Furniture Fitness Equipment Other Please select a product category. Order Time Select Option Immediately Within 7 Days Within 30 Days Exploring Please select an order time. Previous Submit
