Customer Application

Become a Customer

Please complete the details below. This form is based on the Rand Plastics customer data sheet and will be emailed directly to our sales team.

Sales Details

Your Rand Plastics Sales Rep

Location *

Full Legal Name of Business *

Trading Name

Business Type *

Company Registration Number

VAT Registration Number

ID Number if Sole Proprietor

Contact Person *

Email Address *

Telephone Number

Cell Number *

Physical Address *

City & Province *

Optional - select one or more brands if relevant.

Message / Notes