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PAYMENT TERMS – NET SEVEN (7) DAYS FROM DATE OF INVOICE

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Details of Applicant

8. Directors Name & Address:

(If registered Proprietary Limited Co._ excludes Listed Public Company Directors)

Name Address

9. If Partnership or Sole Trader Principals Names & Addresses:

Name Address

14. Trade References:

(Please include telephone number & fax numbers)

Name Telephone Fax

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