BuyerNEW | My Website

Name *

Business Information

Entity Name *

Sole Proprietor

Partnership

Limited Liability Company

Corporation

Nature of Business

Registered Business Name *

Registered Business Address *

Date of Incorporation

City *

Place of Incorporation

Country *

Business Registration/ Trade License No. *

Postal Code *

Tax Registration No

Estimated Annual Purchase

Contact Details

Mode of Payment

Buyer Contact *

Account Payable Number

Buyer Mobile *

Payable's Contact

Email Address *

Trade References and Shipping Terms

Please provide three (3) of your major suppliers who agree to provide trade credit references

Payable's Email

Reference 1

Reference 2

Reference 3

Company Name

Contact No

Company Name

Contact No

Company Name

Contact No

Bill To (if Different from above)

Ship To (if Different from above)

Bill to Company Name

Ship to Company Name

Bill to Contact Number

Ship to Contact Number / Email Address

Bill to Complete Address

Ship to Complete Address with Postal Code

Incoterm *

DAP

DDP

Exwork

Logistics Authorized Person

Logistics Authorized Person Number

Logistics Authorized Email

EORI No *

Freight Forwarder

Freight Account Number

Business Registration/Trade License Copy

Tax Registration Copy

Latest Audited Financial Statement

Sample Purchase Order

Authorized Person

Title/Position

I have read and agree to the Terms and Condition.