New Client Application

New Client Application Form
Robin’s is a B2B company and does not provide products directly to the public, contact your nearest supplier for your requirements.
Date*

MonthDayYear
Date
Type of Client*

RetailerSupermarketCash&CarryWholesalerDistributorImporter
COMPANY INFORMATION
Company Name*
Trade Name if Different
Year Established
How Many Locations*
Nearest International Airport*
Nearest Oceanic Cargo Port*
List locations and Countries*
Company physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Ownership
Owner / President Name*

First NameLast Name
Email*
example@example.com
Direct Phone Number*
Please enter a valid phone number.
Buying Department
Buyers Name*

First NameLast Name
Email*
example@example.com
Direct Phone Number*
Please enter a valid phone number.
Accounts Payable
Accounts Payable Name*

First NameLast Name
Email*
example@example.com
Direct Phone Number*
Please enter a valid phone number.
Trade References
Trade Reference Letters*

Cancelof
Company Registration Documentation*

Cancelof
Bank Account Confirmation Letter*

Cancelof
Should be Empty:

New Client Application Form