Company

Close corporation

Trust

Sole Proprietor

Trading Name of business* 

Telephone Numbers*

Date established

 Tel:   Fax:     Cell:

Full registered name of business

Registration number

E-mail address*

Website

Please describe your main line of current products and services

Street address from which business* is/will be operating

Postal Address of business

Registered for VAT?

YES                                      VAT Reg No:

NO        

Owners of the business:

Name*

Name

Name

Name

Language Preference/  Taalkeuse

Enghlish

Afrikaans

Comments/Questions

Kommentaar/Vrae