This is indicated by the "https://" prefix in the address bar above and by the associated lock icon. We make use of industry standard SSL - Secure Socket Layer technology. This indicates our commitment to your security and means that all your information on this form including your credit card details are encrypted for privacy and as a result cannot be read as it travels over the Internet.
Your full name:
Given name/nickname:
Your occupation:
Close Corporation name: (The CC being converted)
Close Corporation no.: (Original Registration Number)
Your email address:
Confirm email address:
May we send your PTY documents to this email address?:
Your work tel. no.:
Your cell number:
Please answer this question: How did you hear about / find us?:
Other:
Search keyword/s used (if any):
Name and postal address which can be used for correspondence concerning your PTY LTD Company:
Person's name:
Address Line 1:
Address Line 2:
Address Line 3:
Postal Code:
Post Office name:
Post Office Code:
Total nominal number of common shares authorised in the company are 1000 - adjustable by us in our sole discretion.
Details of PTY Directors/Shareholders (no abbreviations):
All Members of your CC must be entered as Shareholders below.
A converted PTY LTD Company with 1 Director/Shareholder costs R1,295.00... Add R50.00 for each additional Director/Shareholder.
Please indicate the number of Directors / Shareholders to be in the PTY LTD Company:
Click here to confirm... This will be the cost of your PTY LTD Company: R
Fill in your Director / Shareholder details, then scroll down to the bottom of the form, leaving the unused sections blank.
1. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
*
If no South African ID No, quote passport number and date of birth.
DO NOT FAX I.D. OR PASSPORT COPIES.
The above also applies to all other shareholders/directors below.
2. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
3. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
4. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
5. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
6. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
7. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
8. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
9. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
10. Director and/or Shareholder:
Surname: Full names:
*I.D. No.: No. of shares: Resident in SA?:
Residential address + code:
Business address + code:
Nationality: Occupation:
Postal address + code:
Your comment / message:
Payment by bank deposit/transfer:
Please fax a clear copy of your cash deposit/transfer slip (with your name as reference) which shows a CASH deposit/transfer of the purchase price for your CC to PTY Conversion Order into bank account: Name: Readyco International CC, Bank: ABSA, Account No: 4050377823, Branch: Somerset West, Branch Code: 632005, and enter zeros in the credit card section below. No cheques allowed. OR
Your credit card details for payment:
Credit card type:
Last 3 digits on back of card:
Card number:
Expiry date:
Cardholder's name (exactly as it appears on card):
The following items are needed for cardholder protection and card verification purposes:
If cardholder is different from applicant, give reason and relationship with cardholder:
Cardholder's billing address (as it appears on credit card statement):
Transaction Amount:
R
Budget or straight?:
By submitting this order with the above credit card details, I, the above-named (the one placing the order), declare that I agree to the terms and conditions on this form and to the Trade Terms on the main site, that the information in this form is correct, and that the credit card is mine or I have direct and full permission from the cardholder to carry out this transaction. I hereby irrevocably apply to eCompany, a unit of Readyco International CC, for the purchase of a converted PTY LTD Company with the above details, and I agree to comply with all requests in regard to documentation.