Customer Application

Customer Application Form

Are you wanting to become a customer? Please fill out the below form and click submit.

    What Is Your Legal Identity *

    Key Contacts - Accounts Contact

    Key Contacts - CEO/MD/GM

    Key Contacts - Alternative Contact

    If You Have Any Branches Please List Them Below

    Customer Registration Document

    Please click the button below to download the Excel document. Please complete it and email it back to us at energy@kathea.co.za