Become a Partner

Registration Form

Kindly fill-up, PRINT and sign the form below. You are also required to print and sign our Terms and Conditions and send it to us together with other Requirements either through:
Address:
SoucePilipinas.com, Inc.
5F Lepanto Bldg.,
8747 Paseo de Roxas
Makati City 1226		 Facsimile:
(632) 810-6422		 E-mail:
info@sourcepilipinas.com

AUTHORIZED SIGNATORY

First Name:
Middle Initial:
Last Name:
Position:
Company Name:
Company TIN:
Nature of Business:
Address:
 
 

 

NOMINATED COMPANY ADMINISTRATOR

Note: Nominated Company Administrator is the one who manages the account in the exchange including approving & managing users and affiliate companies and assigning & customizing roles.

First Name:
Middle Initial:
Last Name:
Designation:
Contact Number1:
Contact Number2:
Facsimile Number:
E-mail Address:
URL:
 
  Buyer Supplier Both

 

We are interested in becoming a trading partner at SourcePilipinas.com.

 

___________________________
Signature over Printed Name

 

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