Clover Procurement

Supplier Registration

All fields marked with an asterisk (*) are required

Name: *

Surname: *

Title:

Position:

Cellphone:

E-mail Address: *

Are you an existing supplier of Clover? *

Head office location: *

Do you have a national footprint? *

Entity Name: *

Entity Trade Name: *

Holding Company:

Entity VAT Number: *

Entity TAX Number: *

Entity Registration Number: *

Holding Company Registration Number:

Telephone number: *

Fax number:

Company Website Address:

Annual Turn-Over:

Number of Employees:

Supplier: *

BBBEE: *

BBBEE Type: *

Greater Then 50% Black Owned?

Greater Then 30% Black Women Owned?

Value Adding?

Category Spend: *

Describe your enquiry: