Customer Registration

Customer Online Registration

Please complete the registration form below

This will help us securely load your details onto our system, making future paperwork and interactions quicker and easier.

Need help? Contact us at sales@lggreen.co.za or 031 705 8845.

Company Name(Required)

Contact Name(Required)

Phone(Required)

Email(Required)

VAT Number

Industry(Required)

If Other - Please specify

Company Website

Postal Address same as Physical Address

Yes

Physical Address

Street Address Address Line 2 City Province Postal Code Country

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Buyer's Details (if applicable)

Contact Name

Phone

Account's Department Details (if applicable)

Contact Name

Phone

Consent(Required)

I consent to L.G.Green, using my personal details and information provided to contact me about products, services, special offers, customer services, and events or for the purposes of research and analysis. Rest assured, your information is secure with us. We respect your privacy and will never share your details with any third parties without your consent.

I consent

I do not consent

By submitting this form, you agree to our terms and conditions.