Customer Details. If it is subsequently found that I am not a legal tenant or not authorised to sign on behalf of the legal tenant, I agree that any outstanding debt in relation to the services may be transferred into a new account created in my name, and that I will become personally liable for all debts relating to these services. I understand that Direct Debit from either a bank account or credit card is required. Customer First & Last Name Date Customer Signature Service Application Form - Sanctuary Cove (‘this agreement’) Service Application for Telair Pty Ltd, ABN 92 119 713 745, ACN 119 713 745 (‘The Company’, ‘Telair’). Post: XX Xxx 0000, Xxxxxxxx XXX 0000 - Tel: 0000 000 000 - Fax: 0000 000 000 Email: xxxxx@xxxxxx.xxx.xx - Web: xxx.xxxxxx.xxx.xx | xxx.xxxxxxxx.xxx.xx
Customer Details. This version of the Customer Details applies if the 'Lease or Sublease' box is ticked at the top of the Application Form. 1 Customer's Personal Details Customer The Lessee set out in Part B of the Application Form. Address for Invoices (mailing address) The address set out in Part B of the Application Form. Address for Notices (street or property address) The address set out in Part B of the Application Form. Telephone Numbers The telephone number set out in Part B of the Application Form. Email Address The email address set out in Part B of the Application Form.
Customer Details. Application. No. Proposal No. Name of the Applicant’s / Co-applicant / Guarantor Cheque ( PDCs and UDCs) Details: Sr. No. Cheque numbers ranging From To No. of Cheques Cheque Cheque ranging From To Bank & Branch Purpose EMI/Security Insurance/ Others Amount of each cheque 1.
Customer Details. This version of the Customer Details applies if the 'Zero Allocation Contract' box is ticked at the top of the Application Form. 1 Customer's Personal Details Customer The Transferee / Purchaser set out in Part B of the Application Form. ABN / ACN The ABN or ACN set out in Part B of the Application Form. Address for Invoices (mailing address) The address set out in Part B of the Application Form. Address for Notices (street or property address) The address set out in Part B of the Application Form. Telephone Numbers The mobile and landline numbers set out in Part B of the Application Form. Email Address The email address set out in Part B of the Application Form. 2 Not applicable 3 Not applicable 4 Customer's Offtake Works Customer's Offtake Works As described in Part C of the Application Form.
Customer Details. (a) In respect of each Customer, the User must provide to the Service Provider the following details:
Customer Details. Please provide your organisation’s name and contact details, including any alternative address for invoicing purposes (see below). Organisation Address Country Postcode Telephone Fax
Customer Details. UBI Account Number (If Applicable) UBI Smart Card Number (If Applicable) Surname: First Name: Home Phone: Mobile: Address: Suburb: State: Postcode:
Customer Details. If it is subsequently found that I am not a legal tenant or not authorised to sign on behalf of the legal tenant, I agree that any outstanding debt in relation to the services may be transferred into a new account created in my name, and that I will become personally liable for all debts relating to these services. I understand this service is only available to residents connected to the Sanctuary Cove FTTH Network. I understand that speeds are not guaranteed, and actual speeds may be less due to network contention, and the transmission protocol which uses a portion of the access bandwidth of the Fibre connection to manage the transmission of data (IP overheads). I understand and agree that the Service is not permitted to be re-sold or used for any commercial activities and is provided as a residential service only. If my service is cancelled or terminated for any reason, I will be charged an early termination fee (ETF). This ETF equates to $15 multiplied by the months remaining in your minimum term. Direct Debit from either a bank account or credit card is required. Customer First & Last Name Date Customer Signature Service Application Form - Sanctuary Cove (‘this agreement’) Service Application for Telair Pty Ltd, ABN 92 119 713 745, ACN 119 713 745 (‘The Company’, ‘Telair’). Post: XX Xxx 0000, Xxxxxxxx XXX 0000 - Tel: 0000 000 000 - Fax: 0000 000 000 Email: xxxxx@xxxxxx.xxx.xx - Web: xxx.xxxxxx.xxx.xx | xxx.xxxxxxxx.xxx.xx Customer Type: New OR Existing (enter account number):
Customer Details. Israel Airports Authority , Ben-Gurion International Airport P.O Box 7 Israel.
Customer Details. This version of the Customer Details applies if the 'Zero Allocation Contract' box is ticked at the top of the Application Form. 1 Customer's Personal Details Customer The Transferee / Purchaser set out in Part B of the Application Form. ABN / ACN The ABN or ACN set out in Part B of the Application Form. Address for Invoices (mailing address) The address set out in Part B of the Application Form. Address for Notices (street or property address) The address set out in Part B of the Application Form. Telephone Numbers The mobile and landline numbers set out in Part B of the Application Form. Email Address The email address set out in Part B of the Application Form. Water Entitlement Not applicable 2 Not applicable 3 Not applicable 4 Customer's Nominated Works Customer's Nominated Works As described in Part C of the Application Form. 5 Service Details Fixed Charges (current to next 30 June) Not applicable Consumption Charges (current to next 30 June) Where there is a Regulated Charge, the Regulated Charge. Otherwise, the consumption or 'allocation water' charges described on the fees and charge schedule published on SunWater's website for the Regulated Area immediately prior to entry into this Contract. Billing Interval 3 monthly Security NO Other charges may be levied from time to time at rates set in accordance with clause 8.7.
