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Gloves & Hand Protection
Disposable Gloves
Gloves
Accessories
Head & Face
Balaclavas
Mop Caps
Safety Helmets
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Welding Helmets
Accessories
Hearing
Aural Banded
Earmuffs
Earplugs
Respiratory
Face Masks
Filters
Accessories
Chemical Suits
Conti Suits
Disposable Suits
Misc
Aprons
Disposables
First Aid
Freezer Wear
Rain Suits
Kidney Belts
Knee Guards
Reflective Wear
Underwear
Welding Wear
Eyewear
Goggles
Overspecs
Safety Spectacles
Fall Arrest
Footwear
Disposable Footwear
Gumboots
Safety Boots
Safety Shoes
Socks
Miscellaneous Footwear
Gloves & Hand Protection
Disposable Gloves
Gloves
Accessories
Head & Face
Balaclavas
Mop Caps
Safety Helmets
Visors
Welding Helmets
Accessories
Hearing
Aural Banded
Earmuffs
Earplugs
Respiratory
Face Masks
Filters
Accessories
Chemical Suits
Conti Suits
Disposable Suits
Misc
Aprons
Disposables
First Aid
Freezer Wear
Rain Suits
Kidney Belts
Knee Guards
Reflective Wear
Underwear
Welding Wear
Home
/ Credit Application
Online Credit Application
1
Customer Details
2
Credit Act Consent
3
Technical Contacts
New / Existing Pienaar Bros Customer Customer
New Customer Application
Existing Customer (Online Account Application)
If you have an account and are only signing up for an online account, select existing customer.
Applicant Name
First
Last
Applicant Email
Address will be associated with your online account. We do not accept Gmail addresses for account customer registrations.
Account Number
Account number can be requested from your representative.
Pienaar Bros Representative
The rep who is associated with your account.
Registered Name of Company
Trading Name of Company
Trading name will be associated with your online account.
Company Registration Number
VAT Number
Date Commenced Business
MM slash DD slash YYYY
Postal Address
Street Address
Address Line 2
City/Town
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Physical Address
Same as previous
Street Address
Address Line 2
City/Town
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Telephone Number
Fax Number
Accounts Telephone Number
Contact Persons
Name
Email Address
Add
Remove
For efficiency please list at least 2 contact persons.
Director/s Name/s
Name
Surname
ID Number
Add
Remove
Bankers
Branch
Bank Account Number
Branch Code
Trade References
Reference Company Name
Telephone Number
Add
Remove
Please submit at least 3. Cell phone numbers are not accepted.
Credit Limit Applied For (Rands)
Document Upload
Upload copies of the following: Cancelled Cheque/ Letter from your bank, Company Registration documents, Company Letterhead, Tax and VAT Certificates and copy of ID Document/s of your Director/s.
Drop files here or
Select files
Accepted file types: pdf, jpg, png, Max. file size: 264 MB.
Applicant Consent
I/We (the applicant/s) consent to the following terms and conditions
I/We, the applicant/s ("the debtor" or "the customer") hereby make application for credit from Brian Pienaar North (Pty) Ltd, t/a Pienaar Bros North, Reg No 1999/000175/07 ("the creditor" or "the supplier") and agree to be bound by the follow terms and conditions should credit be granted:
1. All accounts are to be settled within 30 days from statement date.
2. The supplier will remain the owner of all goods purchased until full payment thereof has been received, and reserves the right to recover possession of all goods fully paid for by the due date.
3. The customer shall be liable to pay all legal and or / collection costs on the attorney / client scale including collection charges incurred by the supplier respect of any dispute, which may arise between the supplier and the customer arising from the contract.
4. The customer hereby consents to the jurisdiction of the Magistrate's Court in respect of any action to be instituted against it pursuant to this contract. It shall nevertheless be entirely within the suppliers discretion as to whether to proceed against the customer in such Magistrate's Court or any other court having jurisdiction.
5. I/We warrant that I am authorised to make this application on behalf of the debtor.
6. I warrant that the details of the debtor in this application and appended are true and correct in every aspect.
7. I agree that the credit limit specified in this application and appended may be increased from time to time without limiting the creditors right to recover any outstanding amounts.
National Credit Act Compliance
I/We (the applicant/s) consent to the following terms and conditions
As informed by the media and various financial institutions over the past couple of months, it has become necessary to obtain the following from our valued customers in order to conform to the requirements of the National Credit Act. We require your consent regarding the under mentioned.
1. Requesting of a bank code from your bankers as and when required.
2. Performing of additional credit checks and responding to trade references on your company as may be required from time to time.
Name of Applicant
First
Last
Company Name
Company Registration Number
Head of Procurement
Telephone Number
Email Address
Buyers
Name
Telephone Number
Email Address
Add
Remove
OHS Representative
Telephone Number
Email Address
Safety Officers/ Representatives
Name
Telephone Number
Email Address
Add
Remove
CAPTCHA
Online Credit Application
1
Customer Details
2
Credit Act Consent
3
Technical Contacts
New / Existing Pienaar Bros Customer Customer
New Customer Application
Existing Customer (Online Account Application)
If you have an account and are only signing up for an online account, select existing customer.
Applicant Name
First
Last
Applicant Email
Address will be associated with your online account. We do not accept Gmail addresses for account customer registrations.
Account Number
Account number can be requested from your representative.
Pienaar Bros Representative
The rep who is associated with your account.
Registered Name of Company
Trading Name of Company
Trading name will be associated with your online account.
Company Registration Number
VAT Number
Date Commenced Business
MM slash DD slash YYYY
Postal Address
Street Address
Address Line 2
City/Town
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Physical Address
Same as previous
Street Address
Address Line 2
City/Town
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Telephone Number
Fax Number
Accounts Telephone Number
Contact Persons
Name
Email Address
Add
Remove
For efficiency please list at least 2 contact persons.
Director/s Name/s
Name
Surname
ID Number
Add
Remove
Bankers
Branch
Bank Account Number
Branch Code
Trade References
Reference Company Name
Telephone Number
Add
Remove
Please submit at least 3. Cell phone numbers are not accepted.
Credit Limit Applied For (Rands)
Document Upload
Upload copies of the following: Cancelled Cheque/ Letter from your bank, Company Registration documents, Company Letterhead, Tax and VAT Certificates and copy of ID Document/s of your Director/s.
Drop files here or
Select files
Accepted file types: pdf, jpg, png, Max. file size: 264 MB.
Applicant Consent
I/We (the applicant/s) consent to the following terms and conditions
I/We, the applicant/s ("the debtor" or "the customer") hereby make application for credit from Brian Pienaar North (Pty) Ltd, t/a Pienaar Bros North, Reg No 1999/000175/07 ("the creditor" or "the supplier") and agree to be bound by the follow terms and conditions should credit be granted:
1. All accounts are to be settled within 30 days from statement date.
2. The supplier will remain the owner of all goods purchased until full payment thereof has been received, and reserves the right to recover possession of all goods fully paid for by the due date.
3. The customer shall be liable to pay all legal and or / collection costs on the attorney / client scale including collection charges incurred by the supplier respect of any dispute, which may arise between the supplier and the customer arising from the contract.
4. The customer hereby consents to the jurisdiction of the Magistrate's Court in respect of any action to be instituted against it pursuant to this contract. It shall nevertheless be entirely within the suppliers discretion as to whether to proceed against the customer in such Magistrate's Court or any other court having jurisdiction.
5. I/We warrant that I am authorised to make this application on behalf of the debtor.
6. I warrant that the details of the debtor in this application and appended are true and correct in every aspect.
7. I agree that the credit limit specified in this application and appended may be increased from time to time without limiting the creditors right to recover any outstanding amounts.
National Credit Act Compliance
I/We (the applicant/s) consent to the following terms and conditions
As informed by the media and various financial institutions over the past couple of months, it has become necessary to obtain the following from our valued customers in order to conform to the requirements of the National Credit Act. We require your consent regarding the under mentioned.
1. Requesting of a bank code from your bankers as and when required.
2. Performing of additional credit checks and responding to trade references on your company as may be required from time to time.
Name of Applicant
First
Last
Company Name
Company Registration Number
Head of Procurement
Telephone Number
Email Address
Buyers
Name
Telephone Number
Email Address
Add
Remove
OHS Representative
Telephone Number
Email Address
Safety Officers/ Representatives
Name
Telephone Number
Email Address
Add
Remove
CAPTCHA
Online Credit Application
1
Customer Details
2
Credit Act Consent
3
Technical Contacts
New / Existing Pienaar Bros Customer Customer
New Customer Application
Existing Customer (Online Account Application)
If you have an account and are only signing up for an online account, select existing customer.
Applicant Name
First
Last
Applicant Email
Address will be associated with your online account. We do not accept Gmail addresses for account customer registrations.
Account Number
Account number can be requested from your representative.
Pienaar Bros Representative
The rep who is associated with your account.
Registered Name of Company
Trading Name of Company
Trading name will be associated with your online account.
Company Registration Number
VAT Number
Date Commenced Business
MM slash DD slash YYYY
Postal Address
Street Address
Address Line 2
City/Town
Province
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
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Applicant Consent
I/We (the applicant/s) consent to the following terms and conditions
I/We, the applicant/s ("the debtor" or "the customer") hereby make application for credit from Brian Pienaar North (Pty) Ltd, t/a Pienaar Bros North, Reg No 1999/000175/07 ("the creditor" or "the supplier") and agree to be bound by the follow terms and conditions should credit be granted:
1. All accounts are to be settled within 30 days from statement date.
2. The supplier will remain the owner of all goods purchased until full payment thereof has been received, and reserves the right to recover possession of all goods fully paid for by the due date.
3. The customer shall be liable to pay all legal and or / collection costs on the attorney / client scale including collection charges incurred by the supplier respect of any dispute, which may arise between the supplier and the customer arising from the contract.
4. The customer hereby consents to the jurisdiction of the Magistrate's Court in respect of any action to be instituted against it pursuant to this contract. It shall nevertheless be entirely within the suppliers discretion as to whether to proceed against the customer in such Magistrate's Court or any other court having jurisdiction.
5. I/We warrant that I am authorised to make this application on behalf of the debtor.
6. I warrant that the details of the debtor in this application and appended are true and correct in every aspect.
7. I agree that the credit limit specified in this application and appended may be increased from time to time without limiting the creditors right to recover any outstanding amounts.
National Credit Act Compliance
I/We (the applicant/s) consent to the following terms and conditions
As informed by the media and various financial institutions over the past couple of months, it has become necessary to obtain the following from our valued customers in order to conform to the requirements of the National Credit Act. We require your consent regarding the under mentioned.
1. Requesting of a bank code from your bankers as and when required.
2. Performing of additional credit checks and responding to trade references on your company as may be required from time to time.
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