supplier registration

Company’s Legal Name

Company’s Operating Name

Street Address

Country

City

Province/State

Postal Code

Website

Is this your corporate head office?

Yes

No

First Name

Surname

Business Title

Email Address

Telephone Number International number format required e.g. +27 21 761 0000

Cellphone Number International number format required e.g. +27 82 812 1234

Give a short description of the product(s) and/or service(s) you provide.

Please select the industries / fields below that apply to your company.

Marketing Marketing services, advertising, sales and business promotions etc.

Office Equipment & Accessories Supplies, printing and multi-function devices, subscriptions, etc

Financial Services Banks, financial advisors, investments, etc

Rewards Loyalty, promotional products, etc

Financial Services Banks, financial advisors, investments, etc.

IT & Telecommunications Hardware, software, telecommunications, maintenance, IT professionals, business services etc

Operations Hardware, software, telecommunications, maintenance, IT professionals, business services etc

Financial Management & Services Real estate, building maintenance, construction, furniture, utilities etc.

Professional Services Non-IT, auditing, accounting, consulting, legal services etc.

Travel Corporate, meetings, conferences, etc

Human Resources Benefits, incentives, rewards, relocation, training, education, etc

Are you registered with MasterCard/Visa?

Yes

No

Which of the following apply to your company? Choose all that apply.

EME (turnover <R10 million)

QSE (turnover >R10 million; <50 million)

Generic (turnover >R50 million)

BBBEE certified:

Level

Non-compliant

Level

> 51% black ownership

> 51% black female ownership

Financial Year End

Latest audited financial statements results

Yes, I have read and agree with Capitec's Supplier Code of Conduct

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Business Services

supplier registration

Company info

Company contact info

Primary contact info

Supplier Overview

Responsible business practices

Financial info

Supplier code of conduct