Online Registration Form
Thank you for taking a few moments to register your company with BlueNova. This will allow you to trade with us.
Should you encounter any difficulties with this process, kindly contact support@bluenova.co.za
Company Name *
Your answer
Company Registration Number
Your answer
Company VAT/Tax Number *
Your answer
Contact Person *
Your answer
E-mail *
BlueNova price lists, warranty documents and other important information will be sent to this e-mail address.
Your answer
Confirm e-mail *
Your answer
Contact Telephone number *
Your answer
Address *
Your answer
Town/City *
Your answer
Province/State/Region *
Code *
Your answer
Country *
Type of Industry *
Required
In short, what type of services does your company provide?
Your answer
How many offices/branches does your company have countrywide? *
Your answer
In which province are your offices/branches located? *
Required
What is your annual turnover? *
Number of employees in your company? *
Does your company have offices/branches internationally?
If so, please list these countries here.
Your answer
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