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. Requested Commodity:	(Please advise the Name of the Commodity requested)
8. Specifications:	(Please advise requested standard or describe detailed if not in international standards)
9. Quantity:	(In Metric Ton (MT) or in Liter (L))
10. Packing:	(Bulk, in bottles, cans, drums, flexi tanks or any different packing)
11. Delivery Size:	(In lot of 20 or 40 feet containers, flexi tanks, trucks or bulk shipment quantity in Metric Ton (MT))
12. Schedule:	(Spot or the delivery month(s), calendar week(s), until date, etc.)
13. Destination Port(s):	(Unloading port(s) if your request included the shipment)
14. 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 Contract (FFL/C), Documentary Letter of Credit (DL/C), whether irrevocable, confirmed, transferable, revolving, divisible, from prime bank, etc. Please delete advised details if inappropriate !)
15. Target Price:	(The Price that you are ready to pay maximum in USD per Metric Ton (MT) or per Liter (L))
16. Other Related Information:	(Any other related details)
Security Code:
Once received demand request detail information above, Enerjik is able to accept and process your demand request according to advised Enerjik's Sale and Purchase Procedure (ESPPB) for Buyer. 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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