Register Account

If you already have an account with us, please login at the login page.

Your Details

Customer Group

Business / Company

Individual

Registered Company Name

Trading Name

Reg. No

VAT No

Business Type

First Name

Last Name

ID No

E-Mail

Mobile

Telephone

Fax

Physical Address 1

Physical Address 2

City

Post Code

Country

Province

Postal Address

Member/Director 1

Full Name

ID No

Mobile

Physical Address

Member/Director 2

Full Name

ID No

Mobile

Physical Address

Member/Director 3

Full Name

ID No

Mobile

Physical Address

Company Independent References

Reference 1

Company

Contact Person

Landline Number

Reference 2

Company

Contact Person

Landline Number

Reference 3

Company

Contact Person

Landline Number

Where did you hear about us?

Your Password

Password

Password Confirm

Captcha

Enter the code in the box below

Document Check-List:

The following documents will need to be supplied on approval of your first quote in order for any equipment to be released.

Company Registration Documents
Certified Copy of ID
Proof of Residence / Address by original ONLY current municipal rates account

Document Check-List:

The following documents will need to be supplied on approval of your first quote in order for any equipment to be released.

Certified Copy of ID
Proof of Residence / Address by original lease agreement

I hereby acknowledge that all of the above supplied information is correct and duly authorise Puma Video to do a verification if the need arises.

I hereby acknowledge that I have read and fully understand Puma Video’s Privacy Policy & Terms & Conditions as well as any costs and legal actions that may result from a breach of those T&Cs.