Trade application Business Name * Trading name Name * Email address * Physical address * Postal address * City * Postal code * Vat Number * Province * — Select — GAUTENG MPUMALANGA NORTHWEST LIMPOPO KWAZULU NATAL NORTHEN CAPE WESTERN CAPE EASTERN CAPE FREESTATE Entity type * — Select — Close corporation PTY LTD Sole propeiator Reg Number * Name * First Middle Last Position Information Email * Phone number Website Trade references 1,Company Name Contact Tel 2. Company Name Contact Tel 3. Company Name Contact Tel MEMBERS NAMES Name First Last Title ID No Phone No Mobile No Email Address OTHER Number Of Years Trading Preferred Transactional Method * — Select — Professional Client Number Of employees Preferred Project Category * — Select — Commercial Residential Hospitality Public sector Estimated Annual Spend On Furniture & Homeware Other Professional Memberships