Account Application Form
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4Favourite
Favourite Stationers cc t/a
Favourite Office National
(“the supplier”)
Central Car Park Corner Murchison Street Newcastle
PO Box 1136 Newcastle 2940
T/F: 034 315 4467 / 034 312 7512
F: 086 655 3486
E: favouritestationers@crazyweb.co.za
Registration Number: CK9857698/23
VAT Registration Number: 4260112026
ACCOUNT APPLICATION FORM
Indicate whichever applicable:
Sole Trader
Close Corporation
Partnership
Company
Trust
Name of Applicant:
(the Account Holder)
Company registration/Trust No:
Business/Industry Sector Code (see back page):
Trade Name:
Postal Address:
Physical Address and domicilium citandi et executandi:
Delivery Address:
1.
2.
3.
Company Telephone:
Company Fax:
VAT No:
Accounts Persons Name:
Buyers Name:
Accounts E-mail:
Buyers E-mail:
Directors / Members / Partners / Proprietors / Trustees (Delete which is not applicable):
1:
ID No:
Residential Address:
2:
ID No:
Residential Address:
3:
ID No:
Residential Address:
4:
ID No:
Residential Address:
Bankers:
Branch:
Account No:
Branch code:
Trade References:
NAME
ADDRESS
TELEPHONE
ACCOUNT NUMBER
CREDIT LIMIT
1:
2:
3:
Terms of payment: 30 days from statement
OR on delivery
Amount of Credit Required:
Estimated Monthly spend:
Asset Value/Annual Turnover:
Are Financial Statements available if required?: Yes
No
No. of Employees: 1 - 5
6 - 15
16 - 50
51 - 100
101+
Date:
Signed:
Designation:
PLEASE NOTE THAT THE APPLICATION TO OPEN AN ACCOUNT IS SUBJECT TO THE CONDITIONS OF TRADE HERETO,
WHICH FORM PART OF THE APPLICATION, AND WHICH MUST BE SIGNED
July 2012
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Parent category: Business