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Vendor Registration

If you already have an account with us, please login at the login page.

To create an Vendor account, fill in the form below ensuring you complete all the required fields:

Important Information

  1. The C.R./V.R Form to be filled in capital letters only
  2. The C.R./V.R Form is to be completed in all respects. If any item is not relevant, please write “Not Applicable”
  3. Registration can only be done on submission of complete application with relevant documents
  4. Each page of the C.R./V.R Form to be duly signed by Proprietor/Partner/Director/Company Secretary at the bottom.
  5. The details provided in this form will be used to evaluate your suitability to provide goods and/or services to LTPL or group companies.

Your Personal Details

First Name:*
Last Name:*
E-Mail:*
Telephone:*
Fax:
Company:
Web Site:

Your Personal Details

First Name:*
Last Name:*
E-Mail:*
Telephone:*
Fax:
Company:
Web Site:

Billing Address Details

Address 1:*
Address 2:
City:*
Post Code:*
Country:*
Region / State:*

Shipping Address Details

Address 1:*
Address 2:
City:*
Post Code:*
Country:*
Region / State:*

Payment Information

Tax ID:
Payment Method:
Cheque Payee Name:
PayPal Email Account:
Bank Name:
ABA/BSB number (Branch Number):
SWIFT Code:
Account Name:
Account Number:

Your Password

Password:*
Password Confirm:*

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