Mshengu

* Indicates a mandatory field!

Name of Company *

Company Registration Number *

Legal Form of the Company *

Year of Business Establishment *

Firstame of the Chief Executive/Proprietor*

Lastname of the Chief Executive/Proprietor*

Does your company have a VAT Registration Number?

Web Site

Address Line 1 *

Address Line 2

City *

Postal Code *

Contact Person Firstname*

Contact Person Lastname*

Telephone Number *

Fax Number

Mobile Number *

Email *

Vendor Category *

Bank *

Account Number*

Branch Code*

VENDOR REGISTRATION FORM