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WHOLESALE APPLICATION FORM
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Note
If you are not a registered company or do not have a VAT number, do not worry just skip the fields. We cater for any size company on this form.
Personal Information
FIRST NAME
*
Your answer
SURNAME NAME
*
Your answer
EMAIL
*
Your answer
COMPANY CONTACT NUMBER (INCL. DIALLING CODE)
*
Your answer
CELLPHONE NUMBER
Your answer
COMPANY INFORMATION
COMPANY NAME
Your answer
COMPANY REG NUMBER
Your answer
COMPANY VAT NUMBER
Your answer
WEBSITE
Your answer
ADDRESS INFORMATION - BILLING ADDRESS
*
Your answer
POSTAL CODE
*
Your answer
ADDRESS INFORMATION - SHIPPING ADDRESS
*
Your answer
POSTAL CODE
*
Your answer
TERMS & CONDITIONS
To view the TERMS & CONDITIONS visit
https://www.kideroo.co.za/wholesale-terms-conditions/
YOU AGREE WITH THE TERMS & CONDITIONS
*
YES
Required
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