Purchase Application Master - Katz Footwear (Pty) Ltd-1

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FOR OFFICE USE:

ACCOUNT
NO.:
LIMIT IN
RAND:

APPROVAL:

Katz Footwear (Pty) Ltd


Reg.No. 2013/048418/07; VAT:4840263067

APPLICATION TO BE REGISTERED AS PURCHASER OF FOOTWEAR MARKETED AND SOLD BY


KATZ FOOTWEAR (PTY) LTD

REGISTERED NAME OF BUSINESS:


TRADING NAME:
REGISTRATION NUMBER:
DATE ESTABLISHED:
VAT REGISTRATION NUMBER:
POSTAL ADDRESS:
PHYSICAL ADDRESS:
DELIVERY ADDRESS:
HOW MANY STORES / SHOPS
OWNED? KINDLY ATTACH A LIST
OF ADDRESSES IF MORE THEN
ONE STORES / SHOPS OWNED OR
LEASED
PLEASE ATTACH PICTURES OF
THE INSIDE & OUSIDE OF THE
SHOPS / STORES OWNED OR
LEASED
TELEPHONE NUMBER:
CELLULAR NUMBER:
FAX NUMBER:

E-MAIL ADDRESS:

METHOD OF TRANSPORT: OTHER: KATZ:

NAME OF DIRECTORS/MEMBERS DESIGNATION


ID NUMBER HOME TELEPHONE
PARTNERS/SOLE PROPRIETOR (E.G. MD)

PREMISES OWNED OR LEASED


NAME OF LANDLORD (IF LEASED) TEL NUMBER:

NAME OF AUDITORS:
AUDITORS ADDRESS:
AUDITORS TEL NO.:

BANKERS:
BRANCH:
ACCOUNT NUMBER:

TRADE REFERENCES
ADDRESS CONTACT PERSON TELEPHONE NUMBER
(NAME OF SUPPLIER)
1.
2.
3.
4.

PERSON/S AUTHORISED TO ORDER:


ESTIMATED MONTHLY PURCHASES:
PURCHASE LIMIT REQUEST:
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I___________________________________________________________ in my capacity

as_____________________________________, certify that:

(1) the information supplied by me in this application is true and correct and that I am authorized to make this application;
(2) I, by my signature hereto, do bind myself as surety and co-principal debtor in favour of Katz Footwear (Pty) Ltd
(“Katz”) for all present and future obligations of the Purchaser to Katz , and I hereby renounce the benefit of the legal
exceptions of division and excussion, no benefit received and non numeratae pecuniae; and that
(3) all transactions between the Purchaser and Katz shall be subject to the Terms and Conditions printed overleaf.

Date:______________________________________

Signature:____________________________________________ Co. Stamp

Kindly ensure that all below compulsory documentation is attached to your


application to be registered as a purchaser:

 Copy of Company Documents - CIPC


 Copy of Director/s or Member/s ID’s
 Credit application to be signed by authorized Director or Member of company
 If the Credit application is signed by a non Member (If the company is a CC) -
Letter of authorization to be submitted and signed by Member of CC.
 If the Credit application is signed by a non Director (If the company is a (Pty)
Ltd) - Letter of resolution to be submitted and signed by all Directors.
 Proof of address (ie utility bill, copy of lease agreement, which indicates name
of business applying for credit and confirming physical/delivery address) –
Not older than three months
 Copy of Vat registration or Tax Clearance certificate
 Confirmation of banking details – Not older than three months
 Copy of Trust documents, indicating trade approval – Should your company
trade as a Trust.

Email Application including signed terms and conditions, return policy & Photos of the [email protected]
Fax to email: 086 529 6332

FOR OFFICE USE:

BANK REPORT ON RAND AMOUNT OF: x Days CODE


TOTAL VALUE OF OPENING ORDER: PAIRAGE
TERMS AGREED:
CREDIT CONTROLLERS REMARKS:

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