Trading information

Company name:
Trading name:		Holding company:
Street address:
Postal address:		Code:
Telephone #:		Fax #:
Type of business:
Date established:		Co reg #:
Vat reg #:
E-mail:

Key operation contacts

Title:
Full name:
Position name:	Select position Managing Director Financial Director Accountant Creditors Buyer Other
If other selected:
Private telephone #:

Trade references

Company name:
Telephone #:
Credit limit:
Terms:
Reference contact:
I agree to the terms and conditions

Terms and condistions

I/We accept that I/we shall be responsible for all costs (including Attorney and Client fees, where applicable) involved in the recovery of any overdue amounts owed by me/us and shall pay interest charges on the same at prime bank rates.

I/We consent to the jurisdiction of the Magistrates Court at Cape Town of all action taken against me/us, irrespective of the amount involved.

I/We agree that I/we have read and understood all of the above, and agree to be bound by them.

I/We (the Directors) do hereby sign as Surety and Co-principle Debtor of the due fulfillment of the company's obligation to Trade Factor and undertake to abide by the Company's Terms and Conditions of Sale.