Application Form

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* Mandatory fields

SECTION I - NEW ACCOUNT INFORMATION




Physical location









Billing address






Shipping address







Shipping address 2








Shipping address 3






SECTION II - CUSTOMER INFORMATION

Type of client: (tick one box per Zone)




Without a recognizable identification number we will not be able to create your account.


Professional identification







Please note that you will be charged tax if no relevant tax exemption proof is attached








Electronic Data Interchange (EDI)





Electronic Data Interchange (EDI)






SECTION III - CONTACT DETAILS











SECTION IV - PARTNERSHIP WITH BVI
















SECTION V - OTHER INFORMATIONS


  1. That the information contained herein is accurate, complete, and true.
  2. To pay all BVI invoices within BVI’s sales terms as stated on the invoice. Past due invoices will be subject to late fees.
  3. That in the event of a billing discrepancy, you will pay the undisputed portion of all BVI invoices within terms of sale and submit a detailed description of the disputed amount.
  4. To pay all costs of collection, including actual out-of-pocket expenses.
  5. That BVI reserves the right, but not the obligation, to net monies due in order to offset outstanding debt due to BVI.
  6. To inform BVI immediately by written notice of any change in ownership, address, or form of business.
  7. The contents and information on this application have not been altered in any way.