Comments

Feel free to send us your
Comments on our Site.

Savic Arriving in October

Watch this space for Specials...


Our Products

  Our Products

 

CUSTOMER INFORMATION FORM

 

 

REGISTERED NAME         *

TRADE NAME                     *

COMPANY REG NO.          *

VAT No.                                 *

POSTAL ADDRESS
*

DELIVERY ADDRESS
*

TEL NO.       *

FAX NO.      *

CELL NO.    *

EMAIL ADDRESS       *

CONTACT PERSON       *

HOW LONG HAS THE BUSINESS BEEN ESTABLISHED:

YEARS       * MONTHS *

NAME/ADDRESS/ID NO/TEL NUMBERS OF DIRECTORS/MEMBERS/
PARTNERS & ID NUMBERS

*  

ARE PREMISES OWNED OR RENTED       *

BANK                    *

ACCOUNT NO.    *

BRANCH NO.       *

EXPECTED VALUE OF MONTHLY
PURCHASES/CREDIT LIMIT REQUIRED       *

TRADE REFERENCES- COMPANY - CONTACT - TELEPHONE NUMBER

1 *

2 *

3 *

MULTIPET cc BANKING DETAILS: ABSA - A/c # 4057631446 - BRANCH # 505705     

ADDITIONAL INFORMATION
  

* Required Fields

 

 
Copiright 2009 Multipet All Rights Reserved.
Designed and hosted by Africa PC