Application to join the Office National Group If you have more than one outlet , please complete a separate application form for each one . All details submitted will remain strictly confidential. Company Details: Name of Legal Entity: If in a trust, please specify name of the trust and full names of trustees: Co Reg No: VAT No: Trading Name: *Please provide a copy of CK1 or CK2 or CM1, CM9. available online - www.cipro.co.za Company Email: Registered Address: Website: Physical Address: *If different from registered address Postal Address: *If different from registered address Bank Acc: Account No: Branch: Branch code: Code: Code: Code: Primary Contact Details: First Name: Surname: Landline No: Email: Known Name: *If different from first name Celphone No: Tell us more about your Business: How long has the Business been in operation: Please tick the division/s you specialise in (more than 20% of your company’s turnover) Office Products Business Technology Furniture Promotional Items Arts & Crafts Back 2 School Company Breakdown Describe your MAJOR business operation: Service Dept Black Economic Empowerment Your company’s rating: If your company is not rated, what are your intentions: Page 1 | March 2022
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