Customer Fact Sheet

Natglass Distributors t/a Na onal Glass Distribu on: +27(0)10 593 8400 | +27(0)10 591 5660 | debtors@natglass.co.za

Business Details
Registered Name of Business: Business Registra on Number:

Trading Name: VAT Number:

Type of Business: Proprietor Pty(Ltd) Close Corpora on Partnership Trust

Select one of the following customer categories with an X:

Category: Glazer Picture Framer Specialist Manufacturer Frameless Glass FurnitureTrade

Shop Fi er Contractor Aluminum Installer Aluminum Manufacturer Hardware Store
Merchant Other

Physical address of business: Postal address of business:

Delivery Address: Site Your Warehouse Collec on from Natglass (Specify on order)

Contact Details
Owner of Business: Accounts Dept: Buyer:

Known as: Tel no: Tel no:

Tel no: Fax no: Fax no:

Cell no: Cell no: Cell no:

Email: Email: Email:

No ca ons: Cell no: Email:

Banking Details PAYMENT METHODS

Name of Bank: We accept all of the following payment methods.

Account Name:

Account Number :

Branch :
30
Cash EFT Credit Card Credit Acc
Branch Code:

Payment Method: Cash EFT Credit Card Snapscan Account Regrettably no cheques accepted

General Info
What products do you buy: Stock Sheets Processed Glass Aluminium Extrusions Flyscreens Machines
Order placed via: Email Fax Sms

SMS no ca on on delivery: Yes No

HOW DID HEAR ABOUT US?
SMS no ca on on order conrma on: Yes No
Sales Rep Website Search Engin Other
Order numbers used: Yes No
Other, please specify:
Only delivery notes on delivery: Yes No

Who is authorized to purchase :

Complete by : Customer Signature: Date:

Internal Use
Sales Execu ve: Natglass Warehouse:

Form completed by: Area: GPS Co-ordinates: