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Contact us by filling out the form below.

Credit Application

Company Name*

Trading Name*

Date Established*

Company VAT Number*

Type of Business*

Private Company

Public Company

Partnership

Close Corporation

Sole Proprietor

Postal Address

Street Address 1*

Street Address 2

Town / City*

State / Province*

Country*

Postcode / Zip*

Physical Address

Street Address 1*

Street Address 2

Town / City*

State / Province*

Country*

Postcode / Zip*

Tel Number*

Mobile Number*

Fax Number

Email*

Name of Bankers*

Branch Name*

Account Number*

Branch Code*

Holding Company & Address*

Directors / Owners / Partners / Members / Proprietors / Full Names / ID Numbers / Residential Addresses

Full Name*

Street Address 1*

Town / City*

Postcode / Zip*

Mobile Number

Tel Number*

ID Number*

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<br> Person 2

Full Name

Street Address 1

Town / City

Postcode / Zip

Mobile Number

Tel Number

ID Number

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<br> Person 3

Full Name

Street Address 1

Town / City

Postcode / Zip

Mobile Number

Tel Number

ID Number

State If Business Or Directors Have Ever Been*

Insolvent

Yes

No

Under Debt Review

Yes

No

Trade References

Name

Street Address 1

Town / City

Postcode / Zip

Tel Number

Account Number

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<br> 2nd Reference

Name

Street Address 1

Town / City

Postcode / Zip

Tel Number

Account Number

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

<br> 3rd Reference

Name

Street Address 1

Town / City

Postcode / Zip

Tel Number

Account Number

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Estimated Monthly Purchases (Credit Required)

Accounts Contact Person

Email

Person Responsible for the account

Full Name

We agree to pay your account within 30 days from invoice date

Details Of Accountant / Auditor / Business Advisors

Company Name

Contact Person

Tel Number

Email

Street Address 1

Town / City

Postcode / Zip

Cash On Delivery

Cash On Delivery*

Yes

No

Minimum order of R 5000. If you have a COD account there is no need to sign the Suretyship section.

Suretyship

I, Your Name

the undersigned, do hereby bind myself as surety and co-principle debtor, to be jointly and severally liable for the amounts due, owing and payable by the business enterprise which has received credit from MVM Products CC T/A Print Rite . I further bind myself to all charges, interest and any further penalties which MVM Products CC T/A Print Rite may levy against the business enterprise aforesaid.

I/WE CONSENT TO THE JURISDICTION OF THE MAGISTRATE'S COURT AT EAST LONDON FOR ALL ACTION TAKEN AGAINST ME/US IRRESPECTIVE OF THE AMOUNT INVOLVED. I/WE AGREE THAT I/WE HAVE READ AND UNDERSTOOD ALL THE CONTENTS OFTHE ABOVE AND AGREE TO BE BOUND BY THEM. N.B. ALL PROPERTY REMAINS THE PROPERTY OF MVM Products CC T/A Print Rite UNTIL PAID IN FULL!

I certify that the above information is true and correct

Name Of Applicant*

ID / Passport Number*

Designation*

Signature*

Date*

NB. - Please ensure that a certified copy of the following documents are attahced when returning this form:

- Company Registration Documents

- ID Documents of directors / owners / members / shareholders / partners

- VAT certificate where applicable

Logo*

Company Registration Documents*

ID Documents of Directors / Owners / Members / Shareholders / Partners*

Vat Certificate Where Applicable

Error occured. Please confirm your data and submit again:

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Get In Touch

Location: Muizenberg, Cape Town, South Africa

Telephone: (+27) 21 778 2356

Email: info@print-rite-africa.com

Hours: M-F: 8am – 5pm

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