Step 1 of 4 - Customer Information 0% Registered Name*Trading Name*(hereinafter referred to as “the Customer”) hereby apply or credit facilities from BUY FRESH (Pty) Ltd (hereinafter referred to as “the Creditor”). If the creditor grants such facilities all purchases by me/us shall be subject to the conditions of sale set out below and any additional conditions contained in the relevant order confirmation (if any). In support of this application, I/we provide the following information which I/we warrant is true and correct.Type of Company*Solo ProprietorPartnershipClose CorporationCompanyCompany Registration No.*VAT No.*Proprietor/Partners/Members/Directors Details*Full NameID No.Residential AddressMobile No.Email Address Delivery Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Postal Address (if different to delivery address) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Registered Office Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date Business commenced under present Ownership* Name of Auditors*Address of Auditors* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact person for PaymentFull Name* First Last Email Address* Telephone No.*Mobile No.*Estimated weekly purchases*Please enter a value between 1 and 99999.Proof of payment at the time of the delivery for all invoices for goods or services supplied. Proof of payment may also be emailed directly to Buyfresh prior to the delivery being made. The proof of payment shall be sent to: email@example.comBank*Branch Code*Account No.*Account Type*ChequeSavingsTransmissionFull Name First Last Email Address* Telephone No.*Mobile No.*Three (3) Trade References*NameTelephone No. 2 The Customer shall pay according to the terms set out above. 2.1 Unless The Customer objects in writing to any item shown on the invoice within 24 (twenty-four) hours of receipt of the invoice concerned, the customer shall be deemed to accept the correctness of the invoice and the onus of proving otherwise shall rest upon The Customer. 2.2 Failure by The Customer to pay in accordance with the above terms shall render all outstanding amounts due and payable immediately and may result in the cancellation of all credit facilities or suspension thereof until all amounts owing have been paid. 2.3 The Customer shall pay interest at 3% (three per cent) above the prime lending rate charged from time to time by The Creditor’s commercial bank on all amounts not paid on due date, from the due date, until date of payment. 3 If any claim made for defective goods supplied is accepted by The Creditor, the creditor will either: 3.1a Grant an allowance in the form of a credit note, OR 3.1b Accept the return of the goods, provided they are returned within 24 hours of the date of the invoice, and will issue a credit note for the value of the goods returned. 3.2 The Creditor may in its sole discretion institute action against the customer for any amounts unpaid in the magistrates court having jurisdiction over the customer notwithstanding that the amount of any claim may exceed the jurisdiction of such court. The customer shall be liable for all legal costs on a scale as between attorney and own client and tracing fees and collection commission arising from such proceedings. 4 By agreeing to the terms herein, The Customer binds themself/themselves jointly and severally as surety and co-principal debtor/s with The Customer for the due performance of all the customer’s obligations to The Creditor. This surety ship is given under renunciation of the benefits of excussion and division and revision of accounts and shall remain of full force and effect notwithstanding any amendment to the provisions hereof, or any lenience, extension of time or indulgence granted by the creditor to the customer. 5 The Customer and the person/s signing as sureties (if any) choose domicile citandi et executandi at the registered address stated above if The Customer is a company or close corporation or the physical address in other cases. Acceptance* I/We in my/our capacity aforesaid declare that I have read and understand all the terms and conditions contained in this document, that the customer agrees thereto and that all information I have given is true and complete. This iframe contains the logic required to handle Ajax powered Gravity Forms.