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Credit Application Form
Online Merchandise Registration Form
Credit Application Form
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Credit Application Form
Credit Application Form
BUSINESS CONTACT INFORMATION
Fields mark in
*
is/are required
Contact Name
*
Company Name
*
Company Number (RC Number)
*
VAT Number
*
Year Business Commence
*
Date Business Commence with Zenith Carex
*
Type of Business
*
Sole Proprietorship
Partnership
Corporation
Registered Company Address
*
City
*
State
*
--- Select State ---
Abuja FCT
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Email
*
Phone Number
*
Upload CAC Document (pdf format)
*
Agreement
All Invoices are to be paid 30 days from the date of the invoice
Claims arising from invoices must be made within seven working days.
By submitting this application, you authorize Zenith Carex Int'l Ltd to make inquiries into the banking and business/trade references that you have supplied.
All payment should be made into Zenith Carex Account, Cash should NOT be given to any Zenix Carex Staff
I agree to the conditions stated above
Submit Form
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