Submit a Ticket | Gerber & Co

Submit a Ticket - New Supplier Application

Custom Text

New client

Subject *

Request by: (Name) *

Name of the Person submitting the support ticket.

Your Email *

Business Name *

Nature of Business

Reg No./ID No. *

Comp Reg No./Close Corp No./ID No.

Supporting Documents

Upload a copy of Company Registration form/ID document

Are you registered for VAT?

Yes

Physical Address *

Email Address *

Contact Number *

Payment Terms

Bank *

Bank Account No. *

Branch Code *

Type of Account *

Proof of Bank Account *

Please upload a letter from the Bank confirming account details (not older then 3 months)

Business Contact

Name of the business contact person.

Designation/Function

Email - Business

Contact No. - Business

Financial Contact

Contact person in the accounting department.

Financial Function

Email - Accounts

Contact No. - Accounts

Comments

Submit Ticket

Data required to create a new supplier or client