{"id":573,"date":"2026-03-27T21:12:21","date_gmt":"2026-03-27T19:12:21","guid":{"rendered":"https:\/\/bernucatrading.co.za\/Findmycarpart\/?page_id=573"},"modified":"2026-03-27T21:13:31","modified_gmt":"2026-03-27T19:13:31","slug":"supplier-registration-form","status":"publish","type":"page","link":"https:\/\/bernucatrading.co.za\/Findmycarpart\/supplier-registration-form\/","title":{"rendered":"Supplier Registration Form"},"content":{"rendered":"<style id=\"wpforms-css-vars-570-block-45c4a7f7-f507-418e-a3e7-23f2b653dece\">\n\t\t\t\t#wpforms-570.wpforms-block-45c4a7f7-f507-418e-a3e7-23f2b653dece {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-45c4a7f7-f507-418e-a3e7-23f2b653dece wpforms-render-modern\" id=\"wpforms-570\"><form id=\"wpforms-form-570\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"570\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/Findmycarpart\/wp-json\/wp\/v2\/pages\/573\" data-token=\"91576fb7186916221c4ed02fce6e4396\" data-token-time=\"1776607288\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-570-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-570-field_1\">Business Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-570-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-570-field_1-error\" required><\/div>\t\t<div id=\"wpforms-570-field_8-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"8\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-570-field_8\" >Name Location Types<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-570-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-570-field_4-container\" class=\"wpforms-field 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class=\"wpforms-field-label\" for=\"wpforms-570-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-570-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-570-field_2-error\" required><\/div><div id=\"wpforms-570-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-570-field_6\">Location <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-570-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-570-field_6-error\" required><\/div><div id=\"wpforms-570-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-570-field_7\">Types of Parts Sold<\/label><input type=\"text\" id=\"wpforms-570-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-570-field_7-error\" ><\/div><div id=\"wpforms-570-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-570-field_3\">Message \/ Notes<\/label><textarea id=\"wpforms-570-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-570-field_3-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-570-field_8-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-570-field_8-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-570-field_8-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"570\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/bernucatrading.co.za\/Findmycarpart\/wp-json\/wp\/v2\/pages\/573\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-570\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit to Join our Network Now\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit to Join our Network Now<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bernucatrading.co.za\/Findmycarpart\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\" title=\"Supplier Registration Form\"><\/div><\/form><\/div>  <!-- .wpforms-container 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