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Company Information

Legal Entity Type

Legal Entity

Legal Name

Trading Name

Company Registration Number

First Name(s)


South African Identity Number


Company Turnover

Number of Company Shareholders

Asset Details

Equipment Type

If Equipment is OTHER, Please Specify

Description of Equipment

Year of 1st Registration(CCYY)

If Vehicle : Make


M & M Code

Finance Details

Contract Type

Article Type

Purchase Price

Contact Person Information

First Name(s)


Mobile Number

E-mail Address

Sales Person Information

If you have already engaged with a Dealer/Supplier, please complete the information below. (OPTIONAL)

Dealer/Supplier Name

Sales Person Name

Sales Person Surname

Sales Person Contact Number

Sales Person E-mail Address