Madibana (pty) Ltd

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CUSTOMER REGISTRATION FORM

Kindly tick the preferred Service Area/s below.

International Area Only Domestic Area Only Both Dom & INTL .Area

Customer Information
* Name of the Company / Customer:
* Division/Section / Department
Cost Center / Registration Number
Vat No: (If Applicable):
* Physical Address
Billing Address:
CFO/ Finance/Accounts Manager (Responsible for Payment)	* Full Name
	* Surname
	* Phone	+27
	* Email:
Contract / Operations / Logistics Manager (Responsible for adding, and deleting end users.	* Full Name
	* Surname
	* Phone	+27
	* Email:
	* Select City
	* Select Nature of Account	<
	* Product Type
Invoicing Cycle:	7 Days 15 Days 30 Days
Invoicing Format:	Consolidate Per Waybill /Transaction
Invoice Submission:	Couriered E-mailed Online
POD Submission:	Couriered E-mailed Online
Special Requirements:

*E-Signature

For international Use Only (Applicable Incoterms)
DDU DDP CIF Ex Works FOB CFR RoRo DAP CIP

*Password

*Confirm Password

Password not entered

Strong Password Tips:

At least 6 characters
At least one number
At least one lowercase & one uppercase letter
At least one special character

All services subject to the Standard Terms and Conditions of Madibana SA (Pty) Ltd as amended from time to time.

Kindly Click here to read our Standard Terms and Conditions of Carriage.

For POPI ACT, Kindly Click here

Attention: Do you have an existing Account with us?

Before proceeding, we kindly request you to verify if you already have an existing account with us.

Please take a moment to do one of the following:

1. To verify your account number, kindly contact your Organization’s Head Office/Supply Chain/Contract Manager before continuing with registration to avoid duplication.
OR
2. Contact our Customer Service Department on csd@madibana.com for prompt assistance: You can reach us at any of the telephone numbers provided below, for further assistance:

1: Gauteng: 012 004 0472 and/or 011 892 0272

2: Mpumalanga: 013 004 0477

3: Limpopo: 015 004 0129

4: North West: 018 004 0063

5: Western Cape: 021 300 5183

6: KwaZulu Natal: 031 100 8092

7: Eastern Cape: 041 004 0070 and/or 043 004 0061

8: Free State: 051 004 0335

9: Northern Cape: 053 004 0326

If you are certain that you don't have an account with us, Click here to continue to the Registration Page.

If your organization already has an account with us, kindly request from the manager/supervisor to add you onto our platform as a user to Book shipments, upon adding you, you will receive a confirmation email as an account user and be able to login as well as to change your password for security reasons.

Kindly click here and use your Account Number, Email Address and your Password to Login.

About Us

Our team of global logistics experts and freight forwarders work very closely with the leading shipping companies and air carriers to provide you with a reliable and trusted freight forwarding services

Services

Careers

Head Office

Riverside Industrial Park
38 Ossewa St, Choolorkop,
Kempton Park, 1624

Tel: +27 11 892 0272
Email: csd@madibana.com