New Customer Account Application

New Customer Account

Application Form
📝 Before You Begin Your Application

Please have the required information and documents ready before starting. Requirements vary by business type (e.g. Company, Trust, Sole Proprietor, Club).

You may need:
- Business registration documents (e.g. registration certificate, trust or club documents, or auditor’s letter for partnerships)
- ID copies of directors, owners, or authorised signatories
- Authorisation/resolution letter confirming who can act on behalf of the business
- Supporting documents (e.g. trust deed or constitution, if applicable)
- Licences (e.g. liquor licence and renewal proof)
- Tax/VAT documents (e.g. VAT103 or tax clearance certificate)
- Trade references (name, phone, email – we will contact them)
Once you select your entity type, the form will show exactly what’s required.

Having these ready will make your application quicker and smoother.
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
MWM Sales ConsultantCLM Sales ConsultantWebsiteOther
Name of the MWM Sales Consultant
Name of the CLM Sales Consultant

Liquor License
Off Consumption (Liquor stores, online stores)On Consumption (Restaurants, bars)On and Off Consumption (Deli)Micro-Manufacturing (Wine farms, breweries)Event (Festival, Art Gallery show)Temporary (Weekend market, pop-up event)Storage Certificate (Store alcohol off-licensed premises)
Starting Date*

DayMonthYear
End Date*

DayMonthYear
ActiveExpired
Please confirm your Liquor License expiry date:*

DayMonthYear
Current Liquor License*

Cancelof
Proof of payment for renewal

Cancelof
⚠️ The Registered Entity Name must exactly match the name on your Liquor License.

🔍 Before answering the next question, please carefully review your Liquor License document.
Does the name on your liquor license match the entity name provided in this application?*
Registered Entity Name *
Who is the liquor license issued to?*
Upload your transfer application that have been submitted to the Liquor Authorities of your region:*

Cancelof
Upload the CIPC registration document reflecting you as director / owner of the business*

Cancelof
Does the address as per the liquor license match the required delivery address?*
Premises and Delivery Address
Place Name (e.g Shopping Centres, Business Parks)
Address - Street Name and then Number

Address - Suburb

CityProvince

Post CodeCountry
GPS Coordinates (Latitude, Longitude)
Example: -25.746111, 28.188056
Where should the stock be delivered to?*
Is this facility trading in any other alcoholic products?*
Due to our type of liquor licence, we are not allowed to deliver to another trading premise that does not correspond with the issued liquor license of the customer.

To help you access our wines, we can assist in connecting you with a suitable redistributor who may be able to handle deliveries in the meantime.

For more details and guidance, please don’t hesitate to reach out to us at info@groupmeridian.co.za
Do you approve that the person accepting the stock on your behalf at the facility is allowed to sign the proof of delivery (POD) on your behalf?*
Note that delivering to this address is subject to approval.
Storage Facility Address
Place Name (e.g Shopping Centres, Business Parks)
Address - Street Name and then Number

Address - Suburb

CityProvince

Post CodeCountry
Apologies, we cannot deliver stock without a responsible party taking ownership of the stock.
Due to our type of liquor licence, we are not allowed to deliver to another trading premise that does not correspond with the issued liquor licence of the customer.

To help you access our wines, we can assist in connecting you with a suitable redistributor who may be able to handle deliveries in the meantime.

For more details and guidance, please don’t hesitate to reach out to us at info@groupmeridian.co.za
We cannnot deliver to freight forwarder premises on your behalf.
Bookings and waybill paperwork for freight forwarder companies are the responsibility of the customer.

To help you access our wines, we can assist in connecting you with a suitable redistributor who may be able to handle deliveries in the meantime.

For more details and guidance, please don’t hesitate to reach out to us at info@groupmeridian.co.za

Payment Terms

The approval of your requested payment terms specifically for credit, is subject to an ITC Credit Bureau score review.
Expected Monthly Purchases*
In alignment with the anticipated credit limit, our Credit Control team may reach out to request your most recent audited financial statements and management accounts.
For urgent orders, we strongly recommend choosing Pre-payment. If your application is complete and all required documents are provided, we can open your account within 3 working days.
Please note: the order will only be released once your first payment has cleared in our bank account.

Requests for Payment Terms take longer to process but can be submitted later once your account is active.
Pre Payment7 days from delivery15 days from delivery30 days from statement
The approval of a 7-Day-from-delivery account is subject to an ITC Credit Bureau score review.
The approval of a 15-Day-from-delivery account is subject to an ITC Credit Bureau score review.
The approval of a 30-Days-from-Statement account with a credit limit is subject to an ITC Credit Bureau score review and feedback from your trade references.
DEED OF SURETYSHIP

A Deed of Surety is a legal agreement where someone (the surety) promises to take responsibility for repaying a debt if the main borrower (the purchaser) fails to pay.

Remember that the signing of a personal surety enhances your credit application and allows the application to be looked upon more favourably, with possibly a higher trade credit facility being granted.
I would like to electronically sign for surety in my personal capacityI am not the surety provider and need to upload a copy of the signed Deed of SuretyNo surety will be provided for this application
Please note that not providing surety may result in the approval of more restrictive payment terms or a lower credit limit.
Deed of Surety Signature*

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Confirm your name :*
Deed of Surety Signed Document*

Cancelof
YesNo
VAT Number
VAT Registration Certificate (VAT103) or TAX Clearance Certificate*

Cancelof

Company Details
Registered CompanyClose CorporationPartnershipSole ProprietorTrustClubs
Registration Number *
Registration Document
Company Registration Document *

A copy of your company’s registration certificate (Certificate of Incorporation or Certificate to Commence Business).
Cancelof
Auditor’s Confirmation Letter*

A letter from your auditors confirming the current status of your business.
Cancelof
Sole Proprietor ID*

A copy of the ID of the sole proprietor
Cancelof
Trust Registration Document *

A letter from the Master’s Office confirming the Trust Number (Master’s Certificate).
Cancelof
Club Constitution *

A copy of your club’s official constitution document.
Cancelof
Authorisation Document
Company Resolution*

A board or director resolution authorising the signatory to apply for accounts on behalf of the company.
Cancelof
Close Corporation Resolution*

A members’ resolution authorising the signatory to apply for accounts on behalf of the close corporation.
Cancelof
Partnership Resolution*

A partners’ resolution authorising the signatory to apply for accounts on behalf of the partnership.
Cancelof
Sole Proprietor Authorisation Letter

A letter authorising the signatory to apply for accounts on behalf of the sole proprietor.
Cancelof
Trust Resolution*

A trustees’ resolution authorising the signatory to apply for accounts on behalf of the trust.
Cancelof
Club Authorisation Letter*

A letter authorising the signatory to apply for accounts on behalf of the club.
Cancelof
⚠️ All individuals listed on the Company Registration Document must be included in the list below.
Owners | Directors | Members | Trustees*
Please supply a copy of all the above mentioned Director's IDs*

Cancelof
Banking Details
Bank Name*
Branch Name*
Branch Number*
Account Name*
Account Number*
Yes it is two different contact personNo it's the same contact person
Account Department Details
Name*

First NameLast Name
Email*
Statement and invoices will be sent to this account
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Buyer or Order Department Details
Name*

First NameLast Name
Email*
Phone Number*
Format: (000) 000-0000.

Trade References

Rows	Trade Reference 1	Trade Reference 2	Trade Reference 3
Entity name
Monthly Spend
Contact Person
Phone Number
Email Address

Yes exceeds R1 000 000.00No does not exceed R1 000 000.00
Yes exceeds R2 000 000.00No does not exceed R2 000 000.00

Terms & Conditions
Please review and sign our full Terms and Conditions below.

To retain a copy for your records, click the three dots in the top right corner of the document to access the print or download options.
By submitting this form, you consent to the collection, processing, and storage of your personal information for purposes of providing our services, in accordance with our Privacy Policy available at https://www.meridianwines.co.za
Signing Application for New Customer Account
“I, First Name Last Name, the Purchaser and duly authorised representative, do hereby request you to supply goods to us from time to time. Should you agree to do so, we hereby agree and acknowledge that all our dealings with you will be upon and subject to your Standard Terms and Conditions of Sale, particulars of which have been set out in the above attachment.”
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New Customer Account

General Information

Liquor License

Payment Terms

The approval of a 7-Day-from-delivery account is subject to an ITC Credit Bureau score review.

The approval of a 15-Day-from-delivery account is subject to an ITC Credit Bureau score review.

The approval of a 30-Days-from-Statement account with a credit limit is subject to an ITC Credit Bureau score review and feedback from your trade references.

Please note that not providing surety may result in the approval of more restrictive payment terms or a lower credit limit.

Company Details

Registration Document

Authorisation Document

Banking Details

Account Department Details

Buyer or Order Department Details

Company History

Landlord Details

Trade References

Terms & Conditions

Signing Application for New Customer Account