HELUKABEL SA (PTY) LTD BMS Doc. No.

POL01
P o Box 2994, Honeydew, 2040 Web page: www.helukabel.co.za
Tel: +27 (0)11 462 8752/33 Fax: +27 (0)11 462 8638 Revision No. 2

COD CLIENT INFORMATION Date. 2018.01.01

Please note all information provided on this form is confidential and that certain of the information will be
validated.
COMPANY DETAILS
Registered Name:
Trading Name:
Trading Since:
Registration No.
VAT No.
Sole Owner  Partnership  (Pty) Limited  Close Corp.  Other 

Postal Address:

Physical Address:

Telephone:
Fax:
E-mail:
Web Page:
ACCOUNTS DETAILS
Accounts Contact:
Telephone:
Fax:
E-mail:
PURCHASING DETAILS:
Head Buyer Name:
Telephone:
Fax:
E-mail:

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 HELUKABEL SA (PTY) LTD BMS Doc. No. POL01
P o Box 2994, Honeydew, 2040 Web page: www.helukabel.co.za
Tel: +27 (0)11 462 8752/33 Fax: +27 (0)11 462 8638 Revision No. 2

COD CLIENT INFORMATION Date. 2018.01.01

PRODUCT REQUIRED/REQUESTED/ENQUIRED
QTY PRODUCT PRICE

COMMENTS

OFFICE USE ONLY

BROUGHT IN
DATE:
BY:
SIGNATURE:

AREA REP:

GROUP: PL:
DATE
ACCOUNT NO.
OPENED:
OPENED BY:

SIGNATURE:

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