Please Note - Fields marked with an asterix (*) are compulsory.
Registered Company Name  *  
Trading As Name  *  
Company Registration Number  *  
VAT Number  *  
Physical Address  *  
Physical Address  *  
Physical Address  *  
Postal Address  *  
Postal Address  *  
Postal Address  *  
Postal Code  *  
Telephone  *  
Fax  *  
Mobile Number  *  
Group Email  *  
Web Address
Products (comma-separated)
Description
Company Banking Details
Account Name  *  
Account Number (No spaces)  *  
Institution (e.g. ABSA)  *  
Account Type (e.g. Current)  *  
Branch Name  *  
Branch Code (No spaces)  *  
Login Details
Primary User  *  
Question  *  
Answer  *  
Private Email  *   
Assign Principal to this Company *
Assign Agent to this Company *
Profession
 
Please Note :
Your account will be activated upon receipt of:

1. 1st month's Subscription of R228.00 Inclusive of VAT.
2. Verification of your details by Accountability doing either a Business or Consumer Search on your site, which will be available for you to view on Saved Reports. The   cost of which will be charged to your account. ( Activation Fee).
3. Completion of the Signatory and Instructions to Accountability page. 
4. Upon activation, your User Name and Password will be sent to your nominated e-mail address. 

Please note: The Accountability contract is for a 12 month period. Should you wish to cancel you should do so a month prior your anniversary date, failing which the contract will renew for a further 12 months.

Further invoices for the monthly premium and services rendered will be collected by debit order, no earlier than the 25th of the month and by no later than the last working day of that month.

Accountability Banking Details
Bank : Nedbank
Account Name : Accountability
Branch : Tygerberg Winelands
Branch code : 118-602
Account no : 1186 084 901

Please fax the following documents to 0861 90 90 91.
                  : Proof of payment reflecting your membership/reference number under "Depositor's name and/or reference".
                  : The completed Signatory and Instructions to Accountability page.
Agreement :
I agree to Accountability Group (Pty) Ltd Subscriber Terms and Conditions, which I have read and understood, and I am duly authorised to bind the Company to these terms and conditions.
 
 
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