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MWEB ADSL Promotion Application Form

MWEB ADSL Promotion Application Form

MWEB ADSL Promotion Application Form

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<strong>MWEB</strong>100 Fairway CloseCape Town 7463Reg: 1996/015134/07VAT: 4390165688Customer No:<strong>MWEB</strong> Authorisation:Product/Promo Code:Office useDECLARATIONPlease read and sign this declarationI declare that the information given by me is true and correct.I have selected the correct product package and understand the service I will be receiving from <strong>MWEB</strong> Connect (Pty) Ltd.I understand that the conclusion of an agreement with <strong>MWEB</strong> may be subject to credit vetting.I warrant that I have the contractual capacity and/or am duly authorised to enter into this agreement with <strong>MWEB</strong>.I understand that important clauses in this agreement, which may limit <strong>MWEB</strong>'s responsibility or involve some risk for me, may be in bold oritalics. I have paid special attention to these clauses. I also understand that every clause is important and that by signing this application Iagree to everything in it.Print nameSignatureDate

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