Enerjik's Buyer Application Form (EBAF)

(Fill please this EBAF for your each demand request separately !)

1. Company Name:
2. Sender's Name:
3. Sender's Position:
4. Telephone Number(s):	(Telephone number(s) of the applicant or sender's company)
5. Facsimile Number(s):	(Facsimile number(s) of the applicant or sender's company)
6. E-Mail Address(es):	(E-mail address(es) of the applicant or sender's company)
7. Postal Address(es):	(Postal address(es) of the applicant or sender's company)
8. Requested Commodity:	(Please advise the name of the commodity requested)
9. Specifications:	(Please advise requested standard or describe detailed if not in international standards)
10. Quantity:	(In metric ton (MT) or in liter (L))
11. Packing:	(Bulk, in bottles, cans, drums, flexi tanks or any different packing)
12. Delivery Size:	(In lot of 20 or 40 feet containers, flexi tanks, trucks or bulk shipment quantity in metric ton (MT))
13. Schedule:	(Spot or the delivery month(s), calendar week(s), until date, etc.)
14. Destination Port(s):	(Unloading port(s) if your request included the shipment)
15. Payment Terms:	(Please advise detailed such as Advance Payment, Bank Guarantee (BG), Standby Letter of Credit (SBL/C), Fully Funded Letter of Credit for Entire Amount (FFL/C), Documentary Letter of Credit (DL/C), whether irrevocable, confirmed, transferable, revolving, divisible, from prime bank, etc. Please delete advised details if inappropriate !)
16. Target Price:	(The price that you are ready to pay maximum in USD per metric ton (MT) or per liter (L))
17. Other Related Information:	(Any other related details)
Security Code:
Once received demand detail information above, Enerjik is able to accept and process your request according to advised Enerjik's Sale and Purchase Procedure for Buyer (ESPPB) . Please note we are able to sign a Enerjik's Non-Circumvention Non-Disclosure Agreement (ENCNDA) with the Buyer or / and his Representative if requested.

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