Crestanks Dealer/Stockiest/Customer Account Opening Application Form

Account Opening Application Form
Please provide all required details below to qualify your business with us. If your company qualifies to become a Customer, Crestanks Ltd representative will be in contact with you to discuss further opportunities. Thank you for your interest in to Crestanks Ltd Products.
Business Owner

First NameLast Name
Business Name
Contact Number

Area CodePhone Number
E-mail
Company Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long have you been in business?
Type/Nature of Business
Please list the products that you service/sell.
Please provide a short description about your company.
How did you hear about Crestanks Ltd?
If Other , please specify here:
Which of our products are you interested in?
Financial manager Email
example@example.com
Please describe your current interest level in becoming a Crestanks Customer.
What is your Annual Turnover?
Procurement Manager:

First NameLast Name
Procurement Manager Email:
example@example.com
Procurement Manager Mobile Number:

Area CodePhone Number
Financial Manager/Controller

First NameLast Name
Name the List of Directors/Shareholders/Partners of your company
Financial Manager Phone Number

Area CodePhone Number
Name 3 Prominent Supplies you currently have Credit Accounts With?
Tin Certificate Copy:

Browse Files

Cancelof
Incorporation Certificate Copy:

Browse Files

Cancelof
District Government Valid Business Permit :

Browse Files

Cancelof
What are your sales goals/Target if you become our Stockiest/Dealer?
Your Bank Names/Branch/Ac Number
Sales Staff that Visited Your Premise:
Full Names
Authorizing Signature Specimen
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please verify that you are human
Should be Empty: