Please complete the registration form below to register as a supplier:
Supplier Information:
Supplier Name:
*
Website:
*
Type of Service Offered:
*
Registration Number:
*
VAT Number:
*
BBBEE Certificate Expiry Date (dd/mm/yyyy):
BBBEE Level/Status:
Level 1 Contributer
Level 2 Contributer
Level 3 Contributer
Level 4 Contributer
Level 5 Contributer
Level 6 Contributer
Level 7 Contributer
Level 8 Contributer
Non - Compliant Contributer
Exempted Micro Enterprise
--None--
*
Tax Clearance Certificate Number:
*
Tax Clearance Expiry Date:
Contact Information:
First name:
*
Last name:
*
E-mail:
*
Telephone Number:
*
Address Information:
Address 1:
*
Address 2:
*
Address 3:
*
City:
*
Postal Code:
*
Province:
*
Country:
*
