Service Agreement 6 month evaluation / 12 month service agreement P.O Box 553 Florida Hills, 1716 FAX 086 50 29 026
Ref Nr
Date:___________________________
Stand Number
Customer Name & Surname Street Name & Number Suburb, City
Postal Code
Telephone
(Home)
E-mail Address
(Work)
(Cell)
(Work) (Home)
Area / Suburb
# Drums
Cost pm
Deposit
Total
NOTES / ADDITIONS / CREDITS:
1. Additional black bags will be charged at R10 / bag
Grand Total Payment Method
Cash [………..]
If possible, we prefer Internet Payments
Thereafter
Internet [………..] Service day
Monday
Tuesday
Wednesday
/month
Thursday
Friday
Garden Drum’s ABSA Savings Account Number: 916 674 0907 Branch Code 632005
Garden Drum’s Contact Person & Tel. Banking Details:
Please use your REFERENCE NR for identification
I, (print name), ID Nr agree to ALL conditions stipulated in this service agreement.
Signed on
/
Customer Signature
/
at
hereby
.
Service Provider CC Registration Number – 2006 / 094107 / 23
.