Supplier Information

Subject *

Company Name *

Trading Name

Company Reg Number

VAT Registered *

Yes

No

VAT Reg No *

Street *

Street

Suburb *

Privince *

State / Province *

Country *

Post Code *

Phone Number *

Email Address *

Website

This field must start with http:// or https:// to be valid.

Additional Contact Information

Sales

Accounts

If you wish to add additional contact information for Sales or Accounts, please check the relevant boxes and complete additional contact details. These will be used for sending of orders or account specific information.

Sales Phone Number

Sales Email Address

Accounts Phone Number

Accounts Email Address

BBBEE Scorecard Type *

Non-Compliant

Exempt Micro Enterprise

Qualifying Small Enterprise

Generic Enterprise

BBBEE Scorecard Level *

BBBEE Certificate Expiry Date *

BBBEE Certificate Upload *

Name of Bank *

Account Name *

Account Number *

Branch Code *

Your Name *

Your Email *

Form Submission - Terms & Conditions

Authorised Representation
By submitting this form, you confirm that you are an authorised representative of the company and have the authority to provide the information on its behalf.
Accuracy of Information
You acknowledge that all details submitted are accurate and complete. Any errors or omissions in the provided information remain the responsibility of the submitting party.
Banking Details
The banking details provided will be used for the payment of your account. It is your responsibility to ensure that these details are correct and up to date.
Liability Disclaimer
Laser Metal Pressings (Pty) Ltd shall not be liable for any loss, damage, or inconvenience incurred due to errors in the submitted information, including but not limited to incorrect banking details.
POPIA
By submitting this form, you consent to Laser Metal Pressing (Pty) Ltd collecting and processing your information in compliance with the Protection of Personal Information Act. Your data will be used only for its intended purpose and will not be shared without consent.

By submitting this form, you agree to the above terms and conditions.

Supplier Information Form

Please have the following information at hand:

Supplier Information Form

Form Submission - Terms & Conditions