Trading Account Application

PLEASE READ CAREFULLY BEFORE YOU CONTINUE:
  • By submitting this application i do hereby declare that all the information provided on this application form along with the documents enclosed are complete, true and accurate to the best of my/our knowledge.
  • I/We give authority to verify information provided below.

 

    1- Company details

    - Company name (required)
    - Address (required)
    - City (required)
    - ZIP code (required)
    - Country (required)
    - Landline phone number
    - Email address (required)
    - Company registration number (required)
    - Trading Commencement Date: (required)
    - VAT number: (required)
    - Website

    2- Bank account details

    - Bank name: (required)

    - Address: (required)
    - City: (required)
    - ZIP code: (required)
    - Country: (required)
    - Account holder full name: (required)
    - Bank account number: (required)
    - Swift code: (required)

    3- Owner

    - Full name: (required)

    - Email address: (required)
    - Skype:
    - Phone number: (required)

    4- Director

    - Full name: (required)

    - Email address: (required)
    - Skype:
    - Phone number: (required)

    5- Authorized purchasing person

    - Full name: (required)

    - Job title: (required)
    - Email address: (required)
    - Skype:
    - Phone number: (required)

    5.1- Authorized sales person

    - Full name: (required)

    - Job title: (required)
    - Email address: (required)
    - Skype:
    - Phone number: (required)

    6- Delivery address

    - Warehouse name: (required)

    - Address: (required)
    - City: (required)
    - ZIP code: (required)
    - Country: (required)

    6.1- Pick-up address

    6.2- Logistics manager

    - Full name: (required)

    - Email address: (required)
    - Phone number: (required)
    - Skype: (required)

    7- Key areas

    - Please select one of the following: (required)

    8- Range of goods

    Please select from menus below (Multible choices allowed) (required)

    9- Number of employees

    Please select from menu below (required)

    10- Which platforms are you a member of?

    Please select from menus below (Multible choices allowed) (required)

    12- Company branchs?

    How many branches your company has? (required)

    13- References

    One reference at least is (required):




    14- Company documents

    *Only PDF files supported - File size 1500KB Max.
    - VAT Certificate,
    - Company Registration Certificate.
    - Company Letterhead.


    ul. Leśna 3
    07-200 Wyszków
    NIP: 7622006714
    REGON: 381866939
    KRS: 0000759107