Register for the Ultimate Web Trader

Basic Information of Customer
Registred Name of Business: * Must 1-80 chars. Must 1-80 chars.
Trading Name of Business: * Must 1-80 chars. Must 1-80 chars.
Type of Business: * Please select a business type
Company Registration/ID Number: * Must 13 numbers. Must 13 numbers.		VAT Number:
Physical Address: * Must 1-80 chars. Must 1-80 chars.
Nature of Business: * Must 1-80 chars. Must 1-80 chars.
Contact Information
	Contact Name	Tel No.	Email Address
Primary Contact	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.
Contact to Receive Statements	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.
Contact to receive Quotes and Invoices	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.	* Must 1-80 chars. Must 1-80 chars.
Acknowledgement By Customer
The Customer agrees to have read and understood Actsys Terms and Conditions of Sale, as published on it’s website www.actsys.co.za and that these, will govern all transactions between the Customer and Actsys (Pty) Ltd. The Customer agrees to check the Terms and Conditions of Sale periodically for changes that may have taken effect from date of posting on the Website. Accept Customer Agreement Please accept the terms

Dealer COD Application