Registered Business Name

Trading Name

Previous Business Name

Web Address or Social Handle

Form of Business Form of Business Private Company Partnership Closed Corporation Sold Trader

Company Registration Number

Vat Registration Number

Operating Address (domicilium citandi et executandi)

Postal Address

Supplier Contact Person

Accounts Contact Person

Full Name And Surname

ID Number

Email Address

Contact Number

Upon submitting this form I will email my COMPNAY REGISTRATION & BANK CONFIRMATION LETTER to info@twoinabush.co.za Upon submitting this form I will email my COMPNAY REGISTRATION & BANK CONFIRMATION LETTER to info@twoinabush.co.za Yes

I agree and accept the terms and conditions as set out below this form. I agree and accept the terms and conditions as set out below this form. Yes

I declare that the information submitted is true and correct, and I understand that submitting this form serves as my electronic signature. I declare that the information submitted is true and correct, and I understand that submitting this form serves as my electronic signature. Yes