Details of applicant:
 
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Names of sole proprietor / members / partners / directors / CEO / COO / CFO of the applicant:
 
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Business address and contact details of the applicant:
 
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Trade references for the applicant:
 
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Terms and conditions: The applicant hereby applies to open a 30 day credit account with EE Publishers with a credit limit as indicated above. The applicant accepts EE Publishers' Standard Terms of Sale for End-Clients published at http://www.ee.co.za/about/terms-of-sale/standard-terms-sale-end-clients
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Authorisation: The applicant hereby declares that the information given in this form is true and correct in all respects, and confirms that the applicant is duly authorised hereto.
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