Morentz Order number and/or description of the transaction *

Are you making this purchase as a private individual or as a company? *

Private individual
Company

Your full name *

Personal ID number *

Company legal name *

Corporate registration number *

VAT number (if applicable)

Address *

Enter your full address, including street, postal code, city and country.

Delivery adress *

Please provide the full and final delivery address for the goods purchased from Morentz.

Your identity and address verification

Government-issued photo ID (upload) *

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, GIF, SVG.

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Max. file size: 30 MB.

Proof of address (upload) *

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, GIF, SVG.

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Recent utility bill, bank statement or government letter (dated within last 3 months). Max. file size: 30 MB.

From which financial institution (bank) will the payment for this purchase be made? *

In which country is the bank registered? *

What is the account holder’s name as it appears on the bank account? *

Purpose of this purchase *

Private collection
Resale
Other

How have you obtained the funds for this purchase? *

Salary
Savings
Sale of assets
Inheritance
Other

You may select more than one option.

Are you making this purchase on your own behalf or on behalf of someone else? *

Myself
Someone else

Are you making this purchase for your own company or on behalf of someone else? *

My company
Someone else

Details of the person/company you are buying for

Representative full name or company name *

Representative personal ID / Passport number / Company ID *

Your relationship to the customer *

Ultimate Beneficial Owner (UBO) - For companies only

Does your company have one or more UBOs? *

UBO details (Full name, Ownership %, Personal ID/Passport, Country of residence) *

Directors / Authorized signatories

Name and role.

UBO supporting document (upload)

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, GIF, SVG.

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Politically Exposed Person (PEP)

Are you, your representative, or the beneficial owner a Politically Exposed Person (PEP)? *

PEP follow-up information

PEP role/title *

Country/organization *

Relation *

PEP period (from – to) *

PEP supporting document (upload)

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, GIF, SVG.

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Max. file size: 30 MB.

Legal Declarations & Policy Consent

I have read the privacy policy and understand that my information may be retained for up to 5 years in accordance with AML regulations.

I have read and agree to the Terms and Conditions of Morentz.

I declare that all the clients payments and funding are legit and not derived from non-legal activities.

I declare that none of the current and future goods acquired from Morentz are ultimately delivered to a sanctioned entity.

I accept responsibility for any applicable VAT obligations regarding all (future) purchased goods from Morentz.

I declare that the provided delivery address is the final destination of the goods, and that no onward transfer, resale, or re-export to any other party or location will occur.

Thank you, your information has been submitted successfully.

We appreciate you taking the time to complete the form.

Our team will review your details and get in touch if any additional information is required.

Thank you, your information has been submitted successfully.

We appreciate you taking the time to complete the form.

Our team will review your details and get in touch if any additional information is required.

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