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A link to set a new password will be sent to your email address.
Business / Trading Name *
Applicant Full Name *
Mobile / WhatsApp Number *
Company Email (if different)
Accounts Contact Person (optional)
Business Type * Select…Pty LtdClose Corporation (CC)Sole Proprietor
Company / CC Registration Number * Required for Pty Ltd / CC. For Sole Proprietor, enter your ID number.
Address Line 1 *
Address Line 2 (optional)
City *
Province *
Postal Code *
Country *
Delivery address is the same as Physical business address
Delivery Address Line 1 *
Delivery Address Line 2 (optional)
Delivery City *
Delivery Province *
Delivery Postal Code *
Delivery Country *
After submitting this form, you must email your required documents to accounts@autoscreenz.co.za. PDF preferred. Max 5MB per file. If documents are unclear or incomplete, your application will be rejected.
Processing time: We will review your details and emailed documents and confirm approval within 5 working days.
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