COD Account Application Form

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COD Account Application

Name of Business:

Address where goods will be kept:

Telephone Number: Contact:

E-mail Address:

Owner/Partner/Directors:

ID Number: (Please attach copy)

Residential Address:

Nature of Business:

Bankers:

Branch:

Account Number:

Matrix: Estimated Monthly Purchase:

Office Use Only

Salesperson: Rep No: A/C Type:

Route: Del Type: Proximity: Rating:

Divisional Sales Manager: Date:

Executive Sales Manager: Date:

Operations Director: Date:

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