Bizim Toptan Satış Mağazaları A.Ş.

Customer Application Form

Name-Lastname:
Date of Birth:

Place of Birth:
ID No:

Company Official?:
Company’s Trade Name:
Tax Office:

Tax No:
Address:
Zip Code:

Mobile Phone No:
Name on the Signboard:
Office Phone No:

Office Fax No:
Şehir:

İlçe:
Mağaza:

As a Bizim Card Bearer, I Would Like to Be Informed on Bizim Wholesale Opportunities via SMS
Email:

Website:
Date of Establishment:

Number of Years of Operation at the Given Address:
Company Status
Private Company: General Partnership: Limited Company: Joint Stock Company: Other:

Square meters	Number of Employees	Number of Chairs (for Diners, Teagardens, etc.)	Number of Beds (Hotel, Guesthouse, etc.)
1-100 M: 100-300 M: 300 M+:	1-50: 50-200: 200+:	1-50: 50-200: 200+:	1-50: 50-200: 200+:

Where Do You Procure Products from
Cash & Carry: Wholesaler: Service Provider: Distributor: Other:
For “Other”, please state:
Type of Vehicle
None: Small Commercial: Big Commercial: Automobile:
Last School You Graduated
Elementary School: Secondary School: High School: College: University: Master’s/PhD:
Areas of Interest
Literature/Books:
Cinema:
Photography:
Economy:
Art:
Sports:
Theater:
Traveling:
Science/Technology:
Music:
Automobiles:
Antiques:
DOCUMENTS REQUIRED IN ADDITION TO APPLICATION FORM FOR BİZİM CARD
1) For private companies, the original or photocopy of the tax certificate.

2) For corporations, photocopy of the tax certificate, document stating the names of purchase authorities (letterhead, stamped and signed)

3) For customers that would like to purchase Tekel products (tobacco), original of their Tekel licenses.

Mandatory fields (marked with an asterix*) must be filled.
Mandatory fields (marked with an asterix *) must be filled.
I have read and agree to the terms and conditions stated in the contract.