New Credit Application

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Please open and read the contents of this document to ensure all information is at hand when completing the Credit Application:
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Entity Details


Type of Entity:
Type of Customer:
Registered Name:	Trading Name:
Co. Registration Number:
Are you a Registered VAT Vendor?	Vat Registration Number:
Bank:	Branch:
Branch Code:	Account Number:
BEE Status:


Is the entity a member of a Buying Group?

Main Parent Account Address Information


Nearest Matus Branch


















Dispatch Option:

Statement Email Address:

Branch / Site Information


Branches:
Sites:


Same Statement Email Address for all branches?
Does the above VAT Nr apply to all branches?

Billing Address


Billing Address same as Postal address? (Y/N):

Sole Proprietor


Name:


Nationality:

ID Number:

ID Document (.pdf):

Managing Partner Details

No. of Managing of Partners


Name:


Nationality:

ID Number:

ID Document (.pdf):

Director's Details

Number of Directors


Name:

Designation:

Nationality:

ID Number:

ID Document (.pdf):

Trustee Details

Number of Trustees


Name:

Nationality:

ID Number:

ID Document (.pdf):

Customer Contacts

Default Account info for remaining contact types

CONSENTS IN TERMS OF THE NATIONAL CREDIT ACT 34 OF 2005 ("theact")

Does the Applicant consent to the following:

The company shall be entitled to make such enquiries as may be necessary to ascertain the credit worthiness of the applicant?
YES NO
In the event that credit is granted, that the Company may advise third parties of the manner in which the Applicant conducts its account?
YES NO

Permissions - POPI Compliance


Use of information:
1. I/We hereby grant consent for Matus to use the provided information for purposes of conducting an 'arms-length' trading relationship with the entity herein indicated.
2. I/We agree that the supplied information is adequate, in all aspects, to facilitate and support the trade relationship between Matus and the entity herein indicated.
3. I hereby grant Matus the permission to share the information provided herein
Information Sharing:
3.1 Marketing Information
3.2. Bidvest Group Companies – Cross Selling Initiatives
3.3 3rd Party Supply Chain Partners[MATUS]
3.4 An investigation, initiated under the relevant provisions of any act or law promulgated in the Republic of South Africa
Marketing Information:
Do you give Matus permission to use your information for sales and marketing communication?
Please indicate which channels you'd prefer to receive marketing and informational communication on:
- Email (platform and Matus)
- Mobile(app's, SMS and/or voice)
- Digital (via the website)
Segments for Targeted Promotions:
- Retail
-- Mass Group
-- Independent
- Industrial
- Co-Operative
- Automotive
- Construction
- Plumbing
- Electrical
- Online

Customer Requests


Payment Terms:
Credit Limit Required:

Would you like your invoice printed at Despatch/Collection?
E-Invoicing:
Purchase Order Preference:
Purchase Order required for order placement?
PO Number mandatory, and unique?
PO Number not mandatory?
PO Number mandatory, but not unique?
Allow backorders?
Interested in Electronic Data Interchange (EDI) integration:

Trade References

* Please give us references of key suppliers*

Number of Trade References


ACC. No. at Supplier:	Supplier:
Contact Name:	Contact Number:
Type of Supplier:

Contact at Matus

Attachments

SIGNED APPLICANT


(Must be Director / Owner / Member / Partner):
NAME:	ID NUMBER:
DESIGNATION:	EMAIL ADDRESS:

Terms & Conditions:

View T's & C's
Do you accept the above terms and conditions?