Online Ordering Authorization -

DOWNLOAD THE FORM BELOW OR FILL IN THE Online Ordering Authorization Form

Online Ordering Authorization Form

Company Name:

Email:

Account Number:

Delivery Address:

Selection:

Details of Business Employee / Staff

First Name:

Last Name:

Cellphone Number:

Authorize I understand that Auto & Truck Tyres (Pty) LTD will validate this online store application before processing and activating.

Details of Business Owner or Partner / Member / Trustee / Director

First Name:

Last Name:

ID Number:

Designation:

Authorize I confirm that I am duly authorised for and on behalf of the company, hereby authorises and permits the following person/s to have access to purchase on the Auto and Truck Tyres (Pty) Ltd B2B Portal and accept that the company and sureties will be liable for all and any charges and/or credit charges for goods and/or services ordered on this portal and any costs associated with goods being returned for whatever reason. I agree that it is my/our responsibility to inform Auto and Truck Tyres (Pty) Ltd in writing should any of the authorised buyers leave our employ. Auto and Truck Tyres (Pty) Ltd cannot be held liable for any loss and/or damages suffered linked to any of these authorised buyers and addresses furnished.

Details of Persons Authorized for E-Commerce Access

FirstName	Lastname	Email	Managerial Dashboard access granted (YES)

*In accordance with the Protection of Personal Information Act (POPIA), ATT Truck & Tyre & ATT Mining Solutions is committed to protecting the privacy and confidentiality of your personal information. By completing and submitting this application, you acknowledge and consent to the collection, processing, and storage of the personal information provided herein. The information collected will be used solely for the purpose of account creation, administration, and communications related to your account.

DOWNLOAD THE FORM BELOW OR FILL IN THE Online Ordering Authorization Form