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First Name *

Last Name *

Company

Country * Select a country... Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belau Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda São Tomé and Príncipe Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) United States (US) Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Street Address *

Address 2

State / County *

Town / City *

Postcode / Zip *

Phone *

Are you an existing Client? * Yes No

VAT Number *

Company Registration Number *

Website Address

Are you a reseller? * Yes No

How many years have you been in business? *

Where do you trade? * South Africa Africa Export

If you export - to which territories? Australia Canada China Europe India Japan Malaysia New Zealand South America USA

Do you import any of your own display hardware? * Yes No

If "yes" what do you import?

Do you manufacture any of your own display hardware? * Yes No

What is your average monthly hardware spend? * Under R 25 000 per month R25 000 to R 50 000 per month More than R 50 000 per month

Do you have sales Reps? * Yes No

If "yes" how many, please provide areas

Do you provide CMT services? * Yes No

If Yes - How many sewing machines do you have?

Do you do Digital Printing on Textile? * Yes No

If "yes" - Where do you buy your textile media from?

Do you have an account with terms from your media supplier? * Yes No

If Yes – please provide us with your account payment terms (i.e. 30 days etc.)

Do you have printers? * Yes No

What brand of printers do you operate?

Printer Models operated?

Width of Printer?

Rip Software Name used

Ink Type used Eco UV Dye Sublimation Paper Dye Sublimation Direct Latex Screen Printing

What Categories of Products do you sell? Banner Walls Exhibition Systems Flags Fabric Frames Gazebos Parasols Roll Ups/ Pop Ups/ Frames