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Download the Dealership Application - trinkcoza

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					                                                         TRINK GROUP HOLDINGS(PTY)LTD                   61 NEWTON ST
                                                         Reg. No. 2006/000915/07                        NEWTON PARK
                                                                                                        PORT ELIZABETH
                                                         Tel:041-3657791                                6045
                                                         Fax: 041:3651640


                                                        BUSINESS PARTNER APPLICATION

TRINK contact person: ____________________________________


                         Registered Company Name:        _________________________________________________________________

                         Trading Name:                   _________________________________________________________________

                         Registration No.:             ___________________________ Registration Date:            _____________________
 COMPANY INFORMATION




                         Business Type:         (Pty) Ltd    CC (Close Corporation)   T/A (Sole Proprietor)    Partnership   Other

                         VAT Registration Number:        _________________________________________________________________

                         Street/Delivery Address:        _________________________________________________________________

                                                         _________________________________________________________________

                                                         ______________________________________             Code: _________________

                         Postal Address:                 _________________________________________________________________

                                                         _________________________________________________________________

                                                         ______________________________________             Code: _________________

                         Telephone No.:                  (________) _________________        Fax No.:     (________) ________________

                         Mobile No.:                     ___________________________         E-Mail:      __________________________


                         Estimated Monthly Purchases:              _________________________________________________________
 FINANCIAL INFORMATION




                         Name of Financial Director / Manager:     _________________________________________________________

                         Person with Purchasing Authority:         _________________________________________________________

                         *Name of Bank:                            _________________________________________________________

                         Account Number:               ______________________________        Branch Code:        _____________________

                         Telephone No.:                (________) ____________________       Bankers Name:       _____________________

                                *If account has been operational for less than 12months, please provide details of previous bankers

                         Accounting / Auditing Firm:               _________________________________________________________

                         Accountant / Auditors Name:               _________________________________________________________

                         Telephone No.:                  (________) _________________        Fax No.:     (________) ________________




                                                                         Page 1 of 3
                           Property Owner?                               Yes                            No
PROPERTY

                           Name of Landlord:    ________________________________________________________________________

                           Telephone No.:              (________) _________________        Fax No.:      (________) ________________

                           Date of Occupation   ________________________________________________________________________


                                                Company Name                                   Telephone Number            Credit Limit
REFERENCES




                           1. ________________________________________________         (________) _________________        __________

                           2. ________________________________________________         (________) _________________        __________

                           3. ________________________________________________         (________) _________________        __________

                           4. ________________________________________________         (________) _________________        __________


                                                 Please provide the full details of Directors/Members or Owners

                           1. Full Names:         _______________________________________          Identity No.:     ________________

                           Address:               ______________________________________________________________________

                                                  ______________________________________________________________________

                                                  ________________________________________            Code:   _____________________

                           Telephone No.:              (________) _________________        Mobile No.:        _____________________
PERSONAL INFORMATION




                           2. Full Names.:        _______________________________________          Identity No.:     ________________

                           Address:               ______________________________________________________________________

                                                  ______________________________________________________________________

                                                  ________________________________________            Code:       ____________________

                           Telephone No.:              (________) _________________        Mobile No.:            ____________________



                           3. Full Names:         _______________________________________          Identity No.:     ________________

                           Address                _______________________________________________________________________

                                                  _______________________________________________________________________

                                                  ________________________________________            Code        ____________________

                           Telephone No.:              (________) _________________        Mobile No.:            ____________________


                       I/We the undersigned hereby accept the attached TRINK GROUP HOLDINGS(Pty) Ltd STANDARD
                          TERMS AND CONDITIONS OF SALE INCORPORATING A SURETYSHIP; and

                       -   Confirm that the information stated herein is both true and correct in every aspect and represents a true
                           reflection of my personal and in the event of a juristic person, its financial position.


                                                                       Page 2 of 3
-   In the event of any dispute resolution and or the institution of legal action, the aforesaid information can
    and will be used, unless this information has been changed or amended in writing by yourself/itself.

-   Grant my consent to TRINK GROUP HOLDINGS(Pty) Ltd, at its sole discretion, or its assignees and
    or a third party to confirm the aforesaid information verbally, electronically and/or in writing.

-   That the aforementioned information can and will be published with any and all Credit Bureau’s or Data
    Capturing services in the event that the account is in arrears or any term/provision or clause of the
    standard conditions of agreement is breached.

-   Certify that I am duly authorised to sign this application and that my signature will be binding on the
    Applicant.

Thus done and signed at _____________________ on this the ____ day of ________________, 20______.



                                                                                 _______________________
                                                                                 (SIGNATURE)

                                                                                 _______________________
                                                                                 (NAME)

                                                                                 _______________________
    Company Stamp                                                                (DESIGNATION)




                                                 Page 3 of 3

				
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