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Company Information Form

Company Information

Company Registration Information

Trading Address
Trading Address
City
State/Province
Zip/Postal
Country
Is the Postal Address the same as the Trading Address?
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country

Main Contact Information

I'm the
Owner Name
Owner Name
First Name
Last Name
Manager Name
Manager Name
First Name
Last Name

Purchase Authorisation

Who is Authorised to make purchases on your behalf?

List down all the authorised personnels to make purchases on your behalf

Authorised Personnel
Authorised Personnel
First Name
Last Name

Your Matrix Representative

If you are not sure who your rep is, Select Sales

Account Team Contact Information

If this is the same as above, leave this section blank
What's the best way to contact the accounts team?
Postal Address
Postal Address
City
State/Province
Zip/Postal
Country

Acknowledgment

I hereby confirm that the above information is true and correct and I acknowledge that any purchases made are subject to JHTA’s Trading Terms & Conditions and JHTA’s Warranty Statement.