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SERVICE AGREEMENT

Customer Details

Business Profile?

NoYes

Primary Contact First Name

*

Primary Contact Surname

*

Email Address

**

Phone Number

*

Business Name

*

Business Website

*

Business Telephone Number

*

Business Registration Number

**

Invoicing Details

Invoicing Name

*

Accounts Person Name

*

Accounts Person Surname

*

Email Address

**

VAT Registration Number

*

Street Name

*

Suburb

*

City

*

Province

Postal Code

**

Service Details

Self-Delivery?

NoYes

Will you arrange delivery of your paper/products to our depot? (If ‘Yes’, you are responsible for delivery to the depot.)

Use Invoice Address for Site Address?

Street Name

*

Suburb

*

City

*

Province

Postal Code

*

Contact Person On-site Full Name

*

Contact Person On-site Phone Number

*

Site Access Times (Opening)

Site Access Times (Closing)

Comments / Instructions

*

Acknowledgement & Signature

Please confirm your agreement to the standard Terms of Service.

First Name

*

Surname

*

Signature

*

Click Save to confirm and record your signature.