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Wires & Wireless
Audio Note
Coresol
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AudioNote
Coresol
Wires & Wireless
The form, duly completed and signed, together with all the required documents must be returned to Wires & Wireless (Pty) Ltd before any purchase facility will be considered;
Please ensure that all signatories and witnesses initial each page of the Application Form and the Terms & Conditions;
Please use download the Wires and Wireless Document and sign it to continue.
DOWNLOAD
The form, duly completed and signed, together with all the required documents must be returned to Coresol (Pty) Ltd before any purchase facility will be considered;
Please ensure that all signatories and witnesses initial each page of the Application Form and the Terms & Conditions;
Please use download the Wires and Wireless Document and sign it to continue.
DOWNLOAD
The form, duly completed and signed, together with all the required documents must be returned to AudioNote (Pty) Ltd before any purchase facility will be considered;
Please ensure that all signatories and witnesses initial each page of the Application Form and the Terms & Conditions;
Please use download the Wires and Wireless Document and sign it to continue.
DOWNLOAD
Entity Information
Registration/ID Number:
(Required)
Registration Date/D.O.B:
(Required)
Company/Person's Name:
(Required)
Trading Name/Person's Surname:
(Required)
VAT Registration Number:
Business Type:
Please select
Transport/Logistics
Information Technology
Property
Finance
Hospitality
Call Centre
Government
Other
Please Define Your Company Sector
BEE Score:
Company Address
Physical Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Postal Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Contact Information
Telephone Number:
(Required)
Alt. No.:
Accounts Manager Name:
(Required)
Accounts Manager's Email:
(Required)
Accounts Contact Person:
(Required)
Accounts Contact Person's Email:
(Required)
Invoice Email Address:
(Required)
Statement Email Address:
(Required)
Additional information
Has the company, any director or an affiliate company traded with any of the following companies;
Audionote
(Required)
Yes
No
Coresol
(Required)
Yes
No
Wires & Wireless
(Required)
Yes
No
If yes provide brief details:
Trade References
Company Name:
(Required)
Contact Number:
(Required)
Email:
(Required)
Company Name:
(Required)
Contact Number:
(Required)
Email:
(Required)
Company Name:
(Required)
Contact Number:
(Required)
Email:
(Required)
PLEASE NOTE THAT INCOMPLETE APPLICATION FORMS WILL NOT BE PROCESSED. ALL INFORMATION PROVIDED WILL BE TREATED AS CONFIDENTIAL.
Bank letter stating proof of bank account details (not older than 3 months)
(Required)
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Max. file size: 64 MB.
Company Resolution Letter.
(Required)
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Max. file size: 64 MB.
Company registration certificate
(Required)
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Max. file size: 64 MB.
Proof of address
(Required)
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Max. file size: 64 MB.
Certified copies of ID's for each director, shareholder, member
(Required)
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Max. file size: 64 MB.
Valid tax clearance certificate
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Max. file size: 64 MB.
Latest BEE certificate
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Max. file size: 64 MB.
Terms Application Document
(Required)
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Accepted file types: pdf, Max. file size: 10 MB, Max. files: 1.
Please make sure you have filled out this form as accurately as possible. (Click button above form to download terms application document).
Please note this submission will only be valid if signed by an authorized person or member.
Thus done and signed at:
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20
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