Vendor Registration

Registration

Username*

Email*

Please check your junk mail as well!

First Name

Last Name

Store Name*

https://dailyonlinesa.co.za/store/[your_store]

Are you applying as company or individual*

Registered Company / Individual - Full Name: (As Stated on Registration Document or Id)*

Trading as / Known as - Name*

Registration / Id - Number*

Vat / Sars Income Tax - Number

Legal Entity / Status*

Upload Supporting Documents for Each of the Above. File max size 1Mb

Certified Registration Document / ID. File size max 1Mb*

Certified VAT Registration Document / SARS Document. File max size 1Mb

Physical Address

Building Type*

Company, Building Name and Floor Number*

Street Number*

Street Name*

Suburb*

Town / City*

State / Country*

Post / Zip Code*

Postal Address

Same as Above

Building Type PA

Company, Building Name and Floor Number PA

Street Number PA

Street Name PA

Suburb PA

Town / City PA

State / Country PA

Post / Zip Code PA

Certified Proof of Address. File size max 1Mb

Collection Address

Provide the address where the courier will collect your products for delivery.

Street Address CA*

Suburb CA*

Town/City CA*

Province*

Post Code*

Contact Info

Title Of Contact Person*

Cell Number*

Landline Number

Office / Work Number

Fax Number

Email*

Website

Certified Proof of ID if Different to the Above. File max size 1Mb

Banking Details

Bank Name*

Account Type*

Account Holder Name*

Account Number*

Branch Name*

Branch Code*

Reference

Bank Confirmation Letter. File max size 1Mb*

About

Type Of Industry / Place of Work*

If Other, Please Specify

Are Your Goods Insured?*

Number Of Trading Years*

Describe Your Business / Products*

Profile & Catalogue / CV. File max size 1Mb

Any Special T&C'S We Should Know About*

List Certifications or Licenses If Applicable

How Many Employees Do You Have?*

Supply At least 3 Trade References

Reference 1

Name*

Number*

Contact Person*

Credit Limit*

Monthly Spend*

Reference 2

Name*

Number*

Contact Person*

Credit Limit*

Monthly Spend*

Reference 3

Name*

Number*

Contact Person*

Credit Limit*

Monthly Spend*

Have You Been Denied A Loan In The Last 4 Years?*

Have You Been Under Debt or Credit Review or Applied for Insolvency / Liquidation in the Last 4 Years?*

BY SUBMITTING THIS FORM, I CERTIFY THAT THE INFORMATION PROVIDED HEREIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.*

How did you first hear about our marketplace?*

If other, please specify

Password*

Confirm Password*

* Agree  Terms & Conditions

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