Full name of Company or Close Corporation:

Trading Name:

Representative Name:

Contact Number:

Your Email:

Company Registration Number:

Company Website URL Link:

Are you based in South Africa:
—Please choose an option—YesNo

Where Are You Based In SA:
—Please choose an option—Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern Cape

Are you a Local manufacturer:
—Please choose an option—YesNo

Do you import raw material:
—Please choose an option—YesNo

From Where:

Does your factory have a 3rd party social compliance audit:
—Please choose an option—YesNo

Do you have a SARS certificate:
—Please choose an option—YesNo

Do you have a VAT certificate:
—Please choose an option—YesNo

BBBEE Level:
—Please choose an option—12345678Non Compliant
Have you read and understood our packaging manual:
—Please choose an option—YesNo

Have you read and understood our DC manual:
—Please choose an option—YesNo

Have you read and understood our supplier agreement:
—Please choose an option—YesNo

Payment terms: 90 days less 5% from Statement. Supplier Finance option available. Costs to excl VAT. No marketing /Merch rebates. :
—Please choose an option—YesNo

What products do you Supply?

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