NEW CUSTOMER REGISTRATION FORM This is not a credit application General Holding Company: Trading Name: VAT Nr: Tel 1: Cell: Fax: E-Mail: Shipping Type:DeliveryCollection Contact Person: Co. Reg Nr: Contact Details First Name: Last Name: Title: Position: Postal Address: Delivery Address: Name of Business: Street Name: Street Number: Block: City: Postal Code: Suburb: Province: Country: Nature of Business DistributorWholesalerSchoolHospitalityState DepartmentCarwashWorkshopCleaning ServicesProperty Management Other:
