Supplier Application Form
Business Type
Select your business type
Activities
Restaurant
Shopping
Transfer
Taxi
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Please select your business type.
Company Name
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Please provide a company name.
Business Description
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Business Location
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Please provide a business location.
Address
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Please provide an address.
Tax Office
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Please provide a tax office.
Tax Number
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Please provide a tax number with exactly 10 characters.
Contact Email
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Please provide a contact email.
Contact Number
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Please provide a contact number.
Website
You can leave it blank.
Authorized Person
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Please provide an authorized person.
Authorized Phone
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Please provide an authorized phone.
Services
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Please provide services.
Regions
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Please provide regions.
Submit