Business Client Registration

This form is exclusively used by TW STORES LTD for the registration of business clients. Incomplete or incorrect submissions may result in rejection. Fields marked * are mandatory. Please attach a copy of your Company Profile, Certificate of Incorporation, BRN and VAT certificate (if applicable). For any clarifications, contact our Business department on +230 5250 6796.

Section I: Business Information

1. Name of Company / Business *

2. Registered Address and / or Mailing Address *

3. Nature of Business: Goods and / or Services Supplied

4. Business Registration Number *

5. VAT (if applicable)

6. Telephone (Head Office) *

7. Email Address *

8. Website

9. Contact Details

NamePhoneEmail

Management

Purchasing

Accounting

10. Director's Names

Section II: Business Details

1. Has the company been operated under any other name? *

YesNo

2. Is the company an existing customer of TW Stores Ltd (Teakworld)?

YesNo

Section III: Signature Authority

I / We certify that the above information provided is true and accurate as at date of signature.

Name and Authorized Signature *

Business Client Registration

Section I: Business Information

1. Name of Company / Business *

2. Registered Address and / or Mailing Address *

3. Nature of Business: Goods and / or Services Supplied

4. Business Registration Number *

5. VAT (if applicable)

6. Telephone (Head Office) *

7. Email Address *

8. Website

9. Contact Details

NamePhoneEmail

Management

Purchasing

Accounting

10. Director's Names

Section II: Business Details

1. Has the company been operated under any other name? *

YesNo

2. Is the company an existing customer of TW Stores Ltd (Teakworld)?

YesNo

Section III: Signature Authority

I / We certify that the above information provided is true and accurate as at date of signature.

Name and Authorized Signature *