Depot Application
 
 
  Please complete the fields below:
     
  First and last Name:
  Email:
  Phone:
  Mobile no:
  Address:
  Postal Address:
  City:
  Province:
  Postal Code:
  Country:
  Which towns would you like to work in:
  Which products would you like to sell:
  Comments
  Which starter pack would you like Normal / Small or Health:
     
  If you own a shop or other business tell us more:
     
  Trading name:
  Registration Number:
  VAT NR:
  Business Engaged in:
  Type of Business:
  Private, Pty LTD, etc:
  Contact Persons name:
     
   
 

I, THE UNDERSINGNED take full responsibility for the payment of my account/s. Should the account not be paid as per agreed Payment of Terms, I agree that I will be responsible for collection cost inclusive, but not to be limited to tracing fees, collection commission, fees on attorney, and client scale as well as interest calculated to two, (2) %.

Please attach a copy of your ID Document or Municipal Account or CK / PTY LTD

   
  Photo of ID:
 
   
   
 

Please print this and upload a picture of it below
Print and sign this

   
  Photo of signature:
 
   
   
 
  • Only picture files are allowed.
  • Maximum upload file size limit is 64 MB
   
   
 



Health Starter Pack



 

   
   
 

Attachments

   
   
 

kry die App op android foon
https://play.google.com/store/apps/details?id=com.app.pdwgszv


 

Vir windows fone en tablets (nog nie laptops en rekenaars nie)
https://www.microsoft.com/store/apps/9N7K0MP4R79S

en vir Iphones en Ipads
copy die link en paste dit in safari
kyk mooi wat hy jou verduidelik
https://www.pwastore.com/pwa/028037e3fd3f

 

Maak seker jy antwoord die sekuriteits vraag
 

   
 


 
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