Application Form
Please make sure all required fields are completed before you send the application form!
Previous Trading / Registered Name(s):
VAT Number:
Registered Name of Holding Companies
Name of Subsidiary
Trading Name (if any):
Registration Number
Registration Number
Postal Address (Please include Postal Code)
Delivery Address
First Contact Name
First Contact E-mail:
Second Contact Name
Second Contact E-mail
Landline No.
Website
ID No.
First Contact Tel No.
Second Contact Tel No.
Fax No.
E-mail
DETAILS OF: PROPRIETORS / DIRECTORS / MEMBERS / PARTNERS
All Companies to include list of all Directors and Members
Full Name
ID No
Tel No. (Res):
% Shares
Country Name (If you are not a SA Citizen)
Passport no.
Residential Address
E-mail
All Businesses Indicate % of membership, Partnership or shareholdings
Full Name
ID No
Tel No. (Res):
% Shares
Country Name (If you are not a SA Citizen)
Passport no.
Residential Address
E-mail
TRADE REFERENCE 1
Name
Tel. No.
Address
Credit Limit (in Rands)
Terms
TRADE REFERENCE 2
Name
Tel. No.
Address
Credit Limit (in Rands)
Terms
List All Sureties, Notarial Bonds, Judgments, Cession of Debtors
Account Contact Person
Tel. No.
E-mail
Have Moratoriums or Offers of Compromise ever been made to any Creditors?
Can the latest Financial Statements be made available
Financial Officers Name
Tel. No.
E-mail
Pay
Physical Address
Ground Floor, Atterbury House, 9 Riebeek Street, Cape Town, 8001.

Sales and Technical Services
Tel: (+27) 21 418 2553
WhatsApp: (+27) 72 871 0705 
Email: technical@macwave.co.za 

Admin and Technical Academy
Tel: (+27) 21 418 0701
WhatsApp: (+27) 72 871 0705
Email: admin@macwave.co.za