Application for Listing as a Supplier

Suppliers of Packaging Products and Services

Explanation and Table of Suppliers | Application for Listing as a Supplier | Infixion Media : Access to information website

If you would like to list on this website as a SUPPLIER (see preceding sub menu item), please complete the information requested in all the blocks below and then hit the SEND button.

We look forward to being of assistance to you!


Send To :

Name of Company or Supplier :

Brief description of Products or Services :

Contact Person (name) :

CONTACT INFORMATION (enter) -

Telephone Number :

Fax number :

Mobile number (if applicable) :

email address (please indicate clearly whether UPPER or lower case) :

BILLING INFORMATION - (please enter below)

Your VAT number :

Send Tax Invoice to (Name, Address, Postal code) :

Attention of (person)? :

This application submitted by (please enter name below) who certifies that he is duly authorised to do so -

Full Names please :