Online Contract Signup
INVOICE DETAILS
COMPANY NAME
*
VAT NUMBER
ORDER NUMBER
DATE
*
/
Month
/
Day
Year
Date
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CONTACT DETAILS
CONTACT PERSON
*
ADDRESS
*
PHONE
*
EMAIL
*
example@example.com
WEBSITE
www.example.zo.za
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SELECTED SERVICE
**PLEASE STIPULATE BELOW
**ALL PRICES EXCL VAT
SERVICE
*
Inews Ad / Category Pin / Special etc
TERM - Months
*
NORMAL RATE
*
R /pm
*
SERVICE
Inews Ad / Category Pin / Special etc
TERM - Months
NORMAL RATE
R /pm
SERVICE
Inews Ad / Category Pin / Special etc
TERM - Months
NORMAL RATE
R /pm
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SIGNATURE
*
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