Client Detail Form

Step 1 of 7

Your Details

Application ID

Full Name(Required)

First Last

Email(Required)

Phone(Required)

Type of Application

Registered Business

Personal / Freelancer

Application Details

Business Name(Required)

Please enter the registered business name as registered with CIPC.

Business Registration Number(Required)

ID / Passport Number(Required)

VAT Number

General Contact Email(Required)

General Contact Phone(Required)

Physical Address(Required)

Street Address Address Line 2 City Province Postal Code Country

Website

Alternative Contact

Name(Required)

First Last

Role(Required)

Phone(Required)

Email(Required)

Person Responsible for Accounts

Name(Required)

First Last

Phone(Required)

Email(Required)

Company Directors

Please add all company directors currently listed as ACTIVE with the CIPC. Failure to do so could negatively impact the verification process.

Directors

Name	ID Number	Phone	Email	Actions

There are no Directors.

Banking Details

Your banking details will only be used to verify your identity. We do NOT make use of debit orders. All rentals to be paid for on a C.O.D basis via credit card or EFT.

Account Name(Required)

Account Number(Required)

Account Type(Required)

Bank(Required)

Branch Code(Required)

Trade References

Please supply verifiable FILM INDUSTRY related Trade References. Trade References from other rental companies are preferred, and could help speed up your application.

Add a Trade Reference

Company / Contact Name	Phone	Email	Actions

There are no Trade References.

Social Media Links

Facebook

Instagram

YouTube / Vimeo / Showreel

Have you rented from us before?

Yes

No, this will be my first rental

Please supply more details

Phone

This field is for validation purposes and should be left unchanged.