BSIN - New Client Form

1

Company Name* This field is required.This will be the entity/name reflected in our invoices and other documents

(e.g. ABC Coffee Company Pte Ltd)

2

Entity Type* This field is required.

Private Limited

Partnership

Sole Proprietorship

Other

3

Company Registration Number

4

Estimated Annual Green Coffee Usage* This field is required.Cumulative yearly coffee roasted. Estimated if unknown.

in Kilograms

5

Estimated Volume Per Delivery/Collection/Shipment in bags* This field is required.This will give us a more accurate estimate in working the best price for you.

in bags per delivery/collection/shipment

6

Registered Business Address* This field is required.Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

7

Business Type* This field is required.

Coffee Roaster

Reseller

Other

8

Company Website

e.g. www.berocoffee.com.sg

9

Company SizeTotal employyes

e.g. 10

10

Paid-Up CapitalIn US Dollars

e.g. 10,000

11

Prior Year RevenueIn US Dollars

e.g. 100,000

12

Delivery Address* This field is required.Primary address of destination of coffee beans.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

13

Primary Contact* This field is required.

First Name

Last Name

Job Title

14

Primary Contact Office Phone Number

Country Code (e.g. +65)

Phone Number

15

Primary Contact Mobile Phone Number* This field is required.

Country Code (e.g. +65)

Phone Number

16

Primary Contact Email Address* This field is required.

example@example.com

18

Accounts Department Contact

Prefix

First Name

Last Name

19

Accounts Phone Number

Country Code (e.g. +65)

Phone Number

20

Accounts Mobile Number

Country Code (e.g. +65)

Phone Number

21

Accounts Email

example@example.com

22

Authorized Signatory Name* This field is required.

Prefix

First Name

Last Name

Job Title (e.g. Director)

23

Authorized Signature* This field is required.

Clear

24

Would you like to be included in our Price and Stock List Updates?* This field is required.Market information, latest arrivals, latest spot offers, announcements and others will be included in the blast

YESNO

25

Please Upload Your Business Registration CertificateIf you do not have one or unsure, your appointed Trader from Bero Coffee Singapore will contact you.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

(e.g. ACRA, import license etc)

26

Please Upload Your Latest Balance SheetAlthough not mandatory, we highly recommend you submit a copy of your latest balance sheet for us to evaluate any future potential credit terms, should you require any. Any credit terms will be subject to final approval at Bero Coffee Singapore's discretion.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

We can accept up to past 2 financial year reports