Maxwell Investments Group

Vendor Registration Form

Kindly Complete the Form

    A. Company Information

    Legal name of Vendor *
    Business Type *
    Other (please specify)
    Trade Name (if different from legal name)
    Is your Business registered? *
    Business Registration Number
    Main Business Address *
    Postal Address *
    Company Website URL (if any)

    B. Contact Information

    Primary Contact Person
    First Name *
    Last Name *
    Position *
    Email Address *
    Phone Number (Please add country code) *
    Address
    Secondary Contact Person
    First Name *
    Last Name *
    Position *
    Email Address *
    Phone Number (Please add country code) *
    Address

    C. Financial Information

    Bank Name *
    Bank Address *
    Bank Branch *
    Account Name *
    Account Number *
    Sort Code / BLZ *
    SWIFT / BIC *
    IBAN *
    Currency

    D. Business Operations

    What are the main countries you operate in *
    Nature of Business *
    Products/Services Offered *
    Additional Comments/Information
    Describe the business you intend to conduct with us. *
    * CHECKLIST OF REQUIRED INFORMATION
    Proof of ID
    Proof of Bank Account Details

    E. Declaration

    Full Name (of person completing the form) *



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